J.Jpn. Surg. Soc.. 55(9): 975-984, 1954
Original article
THE CLINICAL EFFECT OF STELLATE GANGLION BLOCK
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Department of Neurosurgery, Niigata University School of Medicine (Director: Prof. Mizuho NAKATA) Hiroshi FUKAI |
1. The numerous possibilities of complications of stellate block are avoidable with the author's modified method of Smith, and Herget's techniques.
2. The block leads to very favorable results particularly in the following states; the majority of headahe caused by posttraumatic, organic and functional disturbances of cerebral circulation, the states of subnormal pressure in the spinal fluid, the acute and/or chronic neurologic disturbances following head injuries, cerebrovascular accidents and the other organic damages to vessels, and Bell's palsy.
3. Besides, the block is considerablly effective in a certain, probably vascular and/or autonomic nervous, chronic brain diseases, postoperative neurologic disturbance of brain operation, visual defect caused by morbid states of retinal blood vessels and in some scapulobrachial diseases.
4. On diseases characterized by involuntary movements, "Pulseless Disease" and myasthenia gravis, the block only has the transient effects, the author thinks, then eventually becomes ineffective, and the same might be said on a few cases of headache caused by head injuries, functional and organic disturbances of cerebral circulation and of migraine type headache.
5. In effective cases of stellate block, motor disdurbance is more easily influenced than sensory disturbance.
6. Although the stellate block usually produces the excellent results if the procedure is early done while the changes are still reversible, it must be emphasized to able to succeed in some cases of chronic cerebral circulatory disturbances, too.
(author's abstract)
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