Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report

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Khalil Atef Mohammad; Botros Joseph Makram; Boules Maged Labib; Salama Atef Kamel; Ragab Safaa Gaber

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Journal: Anesthesiology and Pain Medicine Year:2021 | Volume:11 | Issue:3 Page(s): 0-0

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Title

Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report

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Keywords

Hyperhidrosis

Sympathectomy

Radiofrequency

Muscle Spasm

Abstract

Introduction: Hyperhidrosis is the maladjustment of excess sweating in speciﬁ c parts of the body. Radiofrequency (RF) therapy has been successfully used to treat Hyperhidrosis with a success rate of 85%-95% in patients refractory to Sympathectomy. The main hypothesis was the association between reduced palmar Hyperhidrosis and Radiofrequency RF therapy. The RF therapy is a less invasive technique, including the utilization of electromagnetic energy that is deposited near the nerve tissue. The mechanism of action of continuous RF could be explained by the destruction of aﬀ erent nerve ﬁ bers on their way from a nociceptive focus to the central nervous system. Pulsed RF was invented to explore this possibility, with the sole purpose of ﬁ nding a less destructive and equally eﬀ ective technique for the application of RF to aﬀ erent pathways. Herein, we further evaluated whether the procedure was safe without any complications in routine follow-up in palmar Hyperhidrosis. Case Presentation: Herein, we report the case of a male patient with an age of 22 years undergoing thermal RF Sympathectomy therapy of thoracic T2 and T3 sympathetic ganglia for the palmar Hyperhidrosis of his right hand observed for 3 months. The patient developed a contraction of the ﬂ exor involving the small muscles of the right hand with severe pain and congestion 17 days after the procedure without any other complications. The contraction was relieved by a sonar-guided median nerve block at the wrist with two injections of 2 mL lidocaine 2% and 2 mL dexamethasone. Conclusions: This study has been the ﬁ rst clinical case report complicated by the development of a contraction of the ﬂ exor muscles of the right hand with severe pain and congestion. The spasm was gradually relieved by sonar-guided median nerve injection at the level of the wrist and intended to assess the role of RF ablation with a success rate of 85%-95% in palmar Hyperhidrosis.

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APA: Copy

Khalil, Atef Mohammad, Botros, Joseph Makram, Boules, Maged Labib, Salama, Atef Kamel, & Ragab, Safaa Gaber. (2021). Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report. ANESTHESIOLOGY AND PAIN MEDICINE, 11(3), 0-0. SID. https://sid.ir/paper/670917/en

Vancouver: Copy

Khalil Atef Mohammad, Botros Joseph Makram, Boules Maged Labib, Salama Atef Kamel, Ragab Safaa Gaber. Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(3):0-0. Available from: https://sid.ir/paper/670917/en

IEEE: Copy

Atef Mohammad Khalil, Joseph Makram Botros, Maged Labib Boules, Atef Kamel Salama, and Safaa Gaber Ragab, “Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 3, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/670917/en

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