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05.07.2016 | case report | Ausgabe 9-10/2018

Wiener Medizinische Wochenschrift 9-10/2018

Palmar hyperhidrosis treated by noninvasive ultrasound stellate ganglion block

Zeitschrift:
Wiener Medizinische Wochenschrift > Ausgabe 9-10/2018
Autoren:
Dipl.-Med. Birgit Heinig, M.D. Andrè Koch, M.D. Prof. Dr. Uwe Wollina
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi: 10.​1007/​s10354-016-0468-8) contains supplementary material, which is available to authorized users.

Summary

Focal palmar hyperhidrosis is a common and often debilitating eccrine sweat gland disorder with negative impact on quality of life and self-esteem. For treatment of recalcitrant cases, a stellate ganglion block is a nonsurgical alternative. Although this method has only a temporary effect, surgical risks can be avoided. The usual way to perform the block is by ultrasound-guided injection of local anesthetics. Here we describe the use of therapeutic ultrasound at 0.8 MHz for stellate ganglion block. Ultrasound was applied for 1 min unilaterally every other day for 6 days. The efficacy was monitored by video capillaroscopy and Minor’s iodine starch test. Treatment was well tolerated and no adverse effects were noted. Sweating was stopped and capillary blood flow increased. The effect lasted for several weeks.

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Zusatzmaterial
Video 1: Video capillaroscopy before treatment (MP4 2,9M).mp4
10354_2016_468_MOESM1_ESM.mp4
Video 2: Video capillaroscopy immediately after stellate ganglion block (MP4 1,9 M).m4v
10354_2016_468_MOESM2_ESM.m4v
Video 3: Video capillaroscopy 1 h after stellate ganglion block (MP4 3,6M).m4v
10354_2016_468_MOESM3_ESM.m4v
Literatur
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