The Successful Use of Bilateral 2-Level Ultrasound-Guided Stellate Ganglion Block to Improve Traumatic Brain Injury Symptoms: A Retrospective Analysis of 23 Patients.

Autor:	Mulvaney SW; Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, USA., Lynch JH; Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, USA., Rae Olmsted KL; RTI International, Research Park, NC 27709, USA., Mahadevan S; Regenerative Orthopedics and Sports Medicine, Annapolis, MD 21401, USA., Dineen KJ; Regenerative Orthopedics and Sports Medicine, Annapolis, MD 21401, USA.
Jazyk:	angličtina
Zdroj:	Military medicine [Mil Med] 2024 Nov 05; Vol. 189 (11-12), pp. e2573-e2577.
DOI:	10.1093/milmed/usae193
Abstrakt:	Purpose: The purpose of the study was to determine whether performing ultrasound-guided, bilateral stellate ganglion blocks (SGBs; performed on subsequent days) improved traumatic brain injury (TBI) symptoms. Methods: A retrospective chart review was conducted for the time period between August 2022 and February 2023 to identify patients who received bilateral, 2-level (C6 and C4) SGBs for PTSD symptoms but who also had a history of TBI. Neurobehavioral Symptoms Inventory (NSI) scores were collected at baseline, 1 week, and 1 month post-treatment in 14 males and 9 females. Results: Out of 23 patients, 22 showed improvement in their NSI scores. NSI baseline average score was 42.7; the average score at 1 week post-treatment was 18.8; 1 month post-treatment was 20.1. This represents a 53% improvement in the NSI score between baseline and 1 month. Conclusion: The use of bilateral, 2-level SGBs may be indicated in treating patients with PTSD symptoms with concomitant diagnoses of mild-to-moderate TBI. (© The Association of Military Surgeons of the United States 2024.)
Databáze:	MEDLINE
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