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A Novel Somatic Treatment for Post-traumatic Stress Disorder: A Case Report of Hydrodissection of the Cervical Plexus Using 5% Dextrose.
Reeves, K Dean; Shaw, Jessica; McAdam, Rebekah; Lam, King Hei Stanley; Mulvaney, Sean W; Rabago, David.
Afiliación
  • Reeves KD; Physical Medicine and Rehabilitation, Private Practice, Roeland Park, USA.
  • Shaw J; Medical School, University of Kansas School of Medicine, Kansas City, USA.
  • McAdam R; Medical School, University of Kansas Medical School, Kansas City, USA.
  • Lam KHS; Musculoskeletal Medicine, The Hong Kong Institute of Musculoskeletal Medicine, Kowloon, HKG.
  • Mulvaney SW; Family Medicine, The Chinese University of Hong Kong, New Territories, HKG.
  • Rabago D; Medicine, Uniformed Services University, Bethesda, USA.
Cureus ; 14(4): e23909, 2022 Apr.
Article en En | MEDLINE | ID: mdl-35411286
Despite years of standard treatments, a Marine veteran and former firefighter, disabled due to severe post-traumatic stress disorder (PTSD), worsened over ten weeks while receiving usual care. Bilateral injection of 10 mL of 5% dextrose in water using a 30-gauge needle just under the sternocleidomastoid muscle was performed at weeks 10, 12, 14, 16, and 18. Clinically important improvements were observed by 18 weeks on a 0-10 anxiety rating scale (57%), the PTSD checklist for civilians (41%), EuroQol overall quality of life scale (40%), and the Hospital Anxiety and Depression Scale (28%). Improvements were stable through 22 weeks. He reported symptomatic benefit on anxiety within 20 minutes of injection, suggesting a neurogenic mechanism, potentially related to a therapeutic effect on the nearby sympathetic trunk/superior sympathetic ganglion. Advantages of this procedure over stellate ganglion blockade include its safety (no lidocaine), bilateral treatment option, simplicity, and comfort.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Patient_preference Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Patient_preference Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos