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윤덕미(Duck Mi Yoon),오흥근(Hung Kun Oh),유은숙(Eu 대한통증학회 1993 The Korean Journal of Pain Vol.6 No.2
Shoulder Hand Syndrome is used to describe painful disabilities of the upper extremity due to disturbances of sympathetic nerve supply. A 72 year old male developed hemiplegia on left side on the 5 days after open heart surgery of aortic valve replacement. Three months later, the patient complained of severe pain in the left upper extremity in- volving shoulder. The left hand showed swelling and flaccid paralysis. Thereafter the left stel- late garglion block with 10 ml of l% lidocaine produced prompt pain relief. Thereafter the pa- tient received 94 stellate ganglion block during 7 months which produced permanent remission of pain throughout a 1 year follow period. We recommand sympathetic block for of Shoulder Hand Syndrome following hemiplegia.