Інформація призначена тільки для фахівців сфери охорони здоров'я, осіб,
які мають вищу або середню спеціальну медичну освіту.


Підтвердіть, що Ви є фахівцем у сфері охорони здоров'я.

 

"Emergency medicine" 4 (75) 2016

Back to issue

Changes in Cerebral Blood Flow after Stellate Ganglion Block

Authors: Yevstratov Eugene, Krupskaya Natalia, Dashyan Narine
Pain Clinic of St. Katherine Hospital Cardiology, Odessa, Ukraine

Sections: Medical forums

print version

Background and Goal of Study. Stellate ganglion block (SGB) has been used in the treatment of cerebral derangements thought to be associated with a headache, for the purpose of reliving spasm and presumably increasing the cerebral blood flow, normalizing endovascular resistances, number of clinical observations, ascribing dramatic results of stellate block to the release of cerebral angiospasm.
Materials and Methods. Unilateral SGB was performed on 30 volunteers patients, 30–40 years (21 female, 9 male), with cluster headache, with 5 ml 0.250 ropivacaine + 4 mg dexamethasone using a paratracheal ultrasound guided technique at the C6 level and confirmed by the presence of Horner’s syndrome. The resistive index (RI) was measured by ultrosound transcranial CV doppler of middle cerebral artery at baseline and 1 min, and 10 min after SGB on both sides (the other side was taken as a control). Normal values of RI was taken according the age.
Results and Discussion. Our observation that, unila–teral, compromised side, after SGB, in our patient produce measurable change in the RI, in contrast with the presumption that this procedure leads to dilatation of the cerebral vessels and normalize RI at middle cerebral artery.
Conclusions. The difference between the block and the non-block sides was significant before procedure (p < 0,0001) and after 10 min become the same with an insignificant difference (p = 0,001). Possible will be as an indicator for decision of the block side (with a higher RI in patients with a cluster headache. Ultrasound technique will be helpfull for provide safe block and effect control.

Similar articles

Authors: Yevstratov Eugene, Krupskaya Natalia
Pain Clinic of St. Katherine Hospital of Cardiology Anaesthesiology, Odessa Regional Hospital, Odessa, Ukraine

"Emergency medicine" 4 (75) 2016
Date: 2016.09.01
Sections: Medical forums
Rare Forms Of Meningococcal Disease In Children (clinical observation)
Authors: N.V. Banadyha - Ternopil State Medical University by I.Ya Horbachevsky
"Child`s Health" 7 (50) 2013
Date: 2013.12.12
Categories: Pediatrics/Neonatology
Fibrotic Transformation of the Rat Pancreas  as Response to the Nitric Oxide Deficiency
Authors: Shevchenko B.F., Babiy A.M., Oshmyanska N.Y., Makarchuk V.A. - State Institution «Institute of Gastroenterology of National Academy of Medical Sciences of Ukraine», Dnipropetrovsk, Ukraine
"Gastroenterology" 1 (47) 2013
Date: 2013.05.27
Categories: Gastroenterology
Sections: Clinical researches
A clinical case of a combination of secondary headache with recurrent genital rash in an immunocompetent woman
Authors: Vysochyna I.L.(1), Mavrutenkov V.V.(1), Chykarenko Z.O.(1), Rositskaya O.A.(1), Zhukova N.V.(2)
1 - State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine
2 - Municipal Institution “Professor Ye.H. Popkova City Clinical Hospital 21” of Dnipropetrovsk Regional Council, Dnipro, Ukraine

"Actual Infectology" Том 6, №2, 2018
Date: 2018.06.11
Categories: Infectious diseases
Sections: Specialist manual

Back to issue