Repeated Single Level Lumbar Sympathetic Neurolysis using Alcohol in a Plantar Hyperhidrosis Patient: A 5-year Follow-up Case Report

Authors

  • Yeong-Gwan Jeon Department of Anesthesiology and Pain Medicine, Wonju College of Medicine, Yonsei University, Ganwon-do, Republic of Korea
  • Young-Hyun Jin Department of Anesthesiology and Pain Medicine, Wonju College of Medicine, Yonsei University, Ganwon-do, Republic of Korea
  • Hyun-Jae Im Department of Anesthesiology and Pain Medicine, Wonju College of Medicine, Yonsei University, Ganwon-do, Republic of Korea
  • Young-Bok Lee Department of Anesthesiology and Pain Medicine, Wonju College of Medicine, Yonsei University, Ganwon-do, Republic of Korea

DOI:

https://doi.org/10.24203/ajpnms.v9i5.6724

Keywords:

Chemical neurolysis, Lumbar sympathetic block, hyperhidrosis, Plantar hyperhidrosis

Abstract

Background: Plantar hyperhidrosis causes discomfort in daily life. However, there are few reports on sympathetic neurolysis in plantar hyperhidrosis.

Case: A 19-year-old woman complained of excessive sweating of both hands and feet. Using video-assisted thoracic surgery, the patient underwent bilateral T3 sympathectomy in the department of chest surgery. One year later, she visited pain clinic with with plantar hyperhidrosis and wanted to undergo sympathetic block. Lumbar sympathetic neurolysis was performed using 2.5 ml of pure anhydrous alcohol at the L4 vertebral level. The symptoms improved after the procedure, and there were no side effects. The patient again underwent sympathetic neurolysis as the symptoms recur.

Conclusions: Repeated lumbar sympathetic neurolysis was performed in a patient with plantar hyperhidrosis, and its success was confirmed during 5 years of follow-up.

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Published

2021-11-04

How to Cite

Jeon, Y.-G., Jin, Y.-H., Im, H.-J., & Lee, Y.-B. (2021). Repeated Single Level Lumbar Sympathetic Neurolysis using Alcohol in a Plantar Hyperhidrosis Patient: A 5-year Follow-up Case Report. Asian Journal of Pharmacy, Nursing and Medical Sciences, 9(5). https://doi.org/10.24203/ajpnms.v9i5.6724

Issue

Vol. 9 No. 5 (2021): October 2021

Section

Articles

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Copyright (c) 2021 Yeong-Gwan Jeon, Young-Hyun Jin, Hyun-Jae Im, Young-Bok Lee

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