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Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 52-54

Lumbar sympathetic ganglion block treatment in a patient with thalamic pain

1 Bandung Pain Rehab Centre, Bandung, Indonesia
2 Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia

Correspondence Address:
Theresia Chandra Tania Novy
Bandung Pain Rehab Centre, Supratman Street No. 57, Cihapit, Bandung Wetan, Bandung, West Java
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jrap.jrap_7_22

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Thalamic pain is a neuropathic pain that may be induced in patients recovering from a cerebrovascular accident. Ultrasound-guided lumbar sympathetic ganglion block (LSGB) has been used to treat pain from various diseases. A 43-year-old man came to our clinic with persistent pain described as a burning sensation on the left lower limb of his body. The pain was resistant to any typical neuropathic pharmacologic medication. We approached the treatment using the ultrasound-guided LSGB technique, then administered 5 milliliters (ml) of injectate that contain 4 ml of 1% lidocaine and 1 ml of 5 milligrams (mg) dexamethasone on each of L2, L3, and L4 lumbar sympathetic ganglion chain levels. Thus, our patient received 15 ml of injections in total. After four visits and within 6 weeks of treatment, there were some improvements and a reduction of the Numeric Rating Scale pain score on each visit. LSGBs coupled with ultrasound-guided technique seem to benefit our patients with thalamic pain.

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