Imaging for regional block: clinical applications of sympathetic blockade in pain therapy

  • L. Branca
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


Biomedical imaging began 100 years ago: in 1885 Roentgen discovered X-rays and in the early 1970s computed tomography (CT), in the early 1980s magnetic resonance imaging (MRI), and in the last few years posctron emission tomography (PET) and single photon emission computed tomography (SPECT) have come to be.


Single Photon Emission Compute Tomography Stellate Ganglion Sympathetic Blockade Coeliac Axis Neurolytic Agent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Branca L (1996) Imaging di blocco nervoso nella terapia del dolore. Edizioni & Tecnologie, Napoli, pp 17–163Google Scholar
  2. 2.
    Zucchi PL, Gedda L, Ischia S, Vecchiet L (1995) Pain anamnesis. clinical semeiological aspects. In. Zucchi PL (ed) Compendium of pain semantics. Institute for the Study and Therapy of Pain, Florence, p 269Google Scholar
  3. 3.
    Ferro Milone F (1993) Chronic pain. a separate entity with its main origin in the central nervous system? Early treatment by antalgic block ( Comment ). Pain Ther 123–28Google Scholar
  4. 4.
    Procacci P, Maresca M, Cersosimo RM (1989) Sympathetically-dependent pain-pathophysiological and clinical aspects. Algologia 1: 2–6Google Scholar
  5. 5.
    Jain S, Shah N, Bedford R (1991) Needle position for paravertebral and sympathetic nerve block: radiologic confirmation is needed. Anaesth Analg 72: S125Google Scholar
  6. 6.
    Hogan Q (1995) Lumbar and cervical sympathetic blocks. Twentieth Annual Meeting of the American Society of Regional Anaesthesia. Asra, Orlando, pp 40–43Google Scholar
  7. 7.
    Cornelisse HM, Slappendel R et al (1995) MR guided localization of the stellate ganglion. Reg Anaesth 20 (Suppl 2): 142Google Scholar
  8. 8.
    Ackerman WE, Racz GB (1995) A comparison of two techniques for stellate ganglion blockade. Reg Anaesth 20 (Suppl 2): 147Google Scholar
  9. 9.
    Benzon HT (1994) Sympathetic and somatic nerve blocks: O’Hare (ed) In Comprehensive Review of Pain Management. Asra, pp 405–419Google Scholar
  10. 10.
    Montero A (1994) Is there any future for the use of neurolytic blocks? In: Van Zundert A (ed) Highlights in regional anaesthesia and pain therapy. Permanyer, Barcelona, pp 289298Google Scholar
  11. 11.
    Ogaw S (1991) Neurolytic sympathectomy. Int J Pain Ther 2: 95–100Google Scholar
  12. 12.
    Bonica JJ (1990) Regional analgesia with local anaesthetics. In: The management of pain. Lea and Febiger, Philadelphia, pp 1941–1944Google Scholar
  13. 13.
    Mercadante S (1993) Celiac plexus block versus analgesics in pancreatic cancer pain. Pain 52: 187–192PubMedCrossRefGoogle Scholar
  14. 14.
    Moore DC, Bush WH, Burnett LL (1980) Celiac plexus block: a roentgenographic, anatomic study of technique and spread of solution in patients and corpses. Anaesth Analg 60: 369–379Google Scholar
  15. 15.
    Brown DL, Bulley K, Quiel EL (1987) Neurolytic cehac plexus block for pancreatic cancer pain. Anaesth Analg 66: 869–873Google Scholar
  16. 16.
    Vielvoye-Kerkmeer PE (1995) Percutaneous celiac plexus block for chronic pain in malignant and non malignant disease. Int J Pain Ther 3 (4): 131–142Google Scholar
  17. 17.
    Hilgier M (1991) Coeliac plexus neurolysis by anterior approach. Int J Pain Ther 2: 101115Google Scholar
  18. 18.
    Montero-Matemala A,Vidal F, Sanchez A, Bach D (1989) Percutaneous anterior approach to coeliac plexus using ultrasound. Br J Anaesth 62: 637–640CrossRefGoogle Scholar
  19. 19.
    Brown D (1995) Celiac plexus block Twentieth Annual Meeting of the American Society of Regional Anaesthesia Asra, Orlando, pp 145–154Google Scholar
  20. 20.
    Haaga JR, Reich NE, Havrilla TR, Alfidi RJ (1977) Interventional CT scanning. Radiol Clin North Am 15. 456–469Google Scholar
  21. 21.
    Ischia S, Luzzani A, Ischia A, Faggion S (1983) A new approach to the neurolytic block of the coeliac plexus• the transaortic technique. Pain 16: 333–341PubMedCrossRefGoogle Scholar
  22. 22.
    Singler RL (1982) An improved technique for alcohol neurolysis of the celiac plexus. Anestesiology 56. 137–141CrossRefGoogle Scholar
  23. 23.
    Weber JG, Brown DL, Stephens DH, Wong GY (1995) Celiac plexus block: does pancreatic cancer alter retrocrural computerized tomographic anatomy? Reg Anaesth 20 (Suppl2). 146Google Scholar
  24. 24.
    Boas RA (1983) The sympathetic nervous system and pain relief. In Swerdlow M (ed) Relief of intractable pain Elsevier, Amsterdam, pp 215–237Google Scholar
  25. 25.
    De Leon-Casaola OA, Kent E, Lema MJ (1993) Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer. Pain 54. 145–151CrossRefGoogle Scholar
  26. 26.
    Plancarte R, Amescua C, Patt RB et al (1990) Superior hypogastric plexus block for pelvic cancer pain Anestesiology 73. 236–239Google Scholar
  27. 27.
    Plancarte R, De Leon-Casaola OA, Allende S, Lema MJ (1995) The clinical effectiveness of two alternative approaches for neurolytic superior hypogastric plexus blocks in patients with pelvic pain associated with extensive retroperitoneal cancer. Reg Anaesth 20 (Suppl 2): 90Google Scholar
  28. 28.
    Umeda S, Arai T, Hatano Y, Mori K, Hoshino K (1987) Cadaver anatomic analysis of the best site for chemical lumbar sympathectomy. Anaesth Analg 66: 643–646CrossRefGoogle Scholar
  29. 29.
    Sprague RS, Ramamurthy S (1990) Identification of the anterior psoas sheath as a landmark for lumbar sympathetic block. Reg Anaesth 15: 253–255Google Scholar
  30. 30.
    Strumpf M, Zenz M, Donner B, Tryba M (1994) Continuous block of the lumbar sympathetic trunk via catheter. Pain Digest 1: 21–28Google Scholar
  31. 31.
    De Leon-Casaola OA (1996) Invasive strategies for chronic pain associated with cancer In: Van Zundert A (ed) Highlights in pain therapy and regional anaestesia. Permanyer, Barcelona, pp 95–101Google Scholar

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© Springer Verlag Italia, Milano 1999

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  • L. Branca

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