Abstract
The patient is a 51-year-old female who developed chronic facial pain following a radical neck dissection for T1N1 squamous cell carcinoma of the oral cavity, tongue, and right-sided cervical lymph nodes. She described her pain as a constant pulling sensation in the right side of her face. She also reported episodic sharp, shooting pain down her anterior and lateral neck with hyperalgesia of the surrounding skin. During her treatment course, she was unable to obtain control of pain with opioids, gabapentinoids, antidepressants (e.g., duloxetine), anxiolytics (e.g., alprazolam), or physical therapy.
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References
Chambers D, Huang C, Matthews G. Chapter 57: Pain physiology. In: Basic physiology for anaesthetists. 1st ed. Cambridge: Cambridge University Press; 2015. p. 269–74.
Baron R. Mechanisms of disease: neuropathic pain—a clinical perspective. Nat Clin Pract Neurol. 2006;2(2):95–106.
Perl E. Causalgia, pathological pain, and adrenergic receptors. Proc Natl Acad Sci. 1999;96(14):7664–7.
Harden R, Oaklander A, Burton A, Perez R, Richardson K, Swan M, et al. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 4th edition. Pain Med. 2013;14(2):180–229.
Bruehl S. Complex regional pain syndrome. BMJ. 2015;351:h2730.
Xie W, Chen S, Strong J, Li A, Lewkowich I, Zhang J. Localized sympathectomy reduces mechanical hypersensitivity by restoring normal immune homeostasis in rat models of inflammatory pain. J Neurosci. 2016;36(33):8712–25.
Kerry R, Taylor A, Mitchell J, McCarthy C, Brew J. Manual therapy and cervical arterial dysfunction, directions for the future: a clinical perspective. J Man Manip Ther. 2008;16(1):39–48.
Zakrzewska J. Differential diagnosis of facial pain and guidelines for management. Br J Anaesth. 2013;111(1):95–104.
Rathmell J. Chapter 10: Stellate ganglion block. In: Atlas of image-guided intervention in regional anesthesia and pain medicine. 1st ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2012. p. 151–61.
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MacNeil, J.T., Goree, J.H. (2018). Facial Pain Treated with Stellate Ganglion Block. In: Suen, J., Petersen, E. (eds) Diagnosis and Management of Head and Face Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-90999-8_36
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DOI: https://doi.org/10.1007/978-3-319-90999-8_36
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