Effectiveness of Ultrasound-Guided Stellate Ganglion Block in Treating Pediatric Complex Regional Pain Syndrome
Kevin M Tang1, Crystal Lee1, Mia Castiglione1
1Anesthesiology and Perioperative Medicine, Rutgers University New Jersey Medical School, Newark, USA.
Insights
Ultrasound-guided stellate ganglion block (SGB) effectively treated a child with complex regional pain syndrome (CRPS) affecting the arm. This interventional pain management approach reduced pain and improved function, offering a safe alternative for pediatric patients.
Area of Science:
- Pain Medicine
- Pediatric Neurology
- Interventional Radiology
Background:
- Complex regional pain syndrome (CRPS) presents diagnostic and therapeutic challenges in pediatric patients.
- Refractory cases often necessitate interventional pain management strategies beyond conservative treatments.
- Ultrasound guidance enhances the safety and precision of interventional procedures.
Observation:
- A pediatric patient with refractory upper extremity CRPS underwent an ultrasound-guided stellate ganglion block (SGB).
- The procedure involved precise visualization of anatomical structures for accurate needle placement.
- The patient had a history of persistent pain and functional limitations despite prior treatments.
Findings:
- Following the ultrasound-guided SGB, the patient experienced significant reduction in pain intensity.
- The frequency of pain flares decreased notably post-intervention.
- Functional capacity of the affected upper extremity showed marked improvement without adverse events.
Implications:
- Ultrasound-guided SGB represents a viable and effective interventional option for managing pediatric CRPS.
- This technique offers improved safety and efficacy by enabling real-time visualization during the procedure.
- Further research into SGB for pediatric neuropathic pain conditions is warranted.
Abstract:
Complex regional pain syndrome (CRPS) is a painful neuropathic condition that is often difficult to diagnose and treat in children. In patients who fail conservative treatment, an interventional approach can provide pain relief and improve functionality. We present a case in which an ultrasound-guided stellate ganglion block (SGB) was performed on a pediatric patient with refractory CRPS affecting the upper extremity. Following the block, the patient reported significant pain reduction, less frequent flares, and improvement of functions without any significant complications. This case report aims to highlight the effectiveness of ultrasound-guided SGB in treating pediatric CRPS patients. The recent advocacy of ultrasound-guided interventions has demonstrated efficacy and improved safety due to clear visualization of key structures.
