Usefulness of galvanic skin reflex monitor in CT-guided thoracic sympathetic blockade for palmar hyperhidrosis.
Computed tomography (CT)-guided thoracic sympathetic blockade with ethanol was performed while monitoring sympathetic nerve activity, with an alternating current (AC) galvanic skin reflex (GSR) monitor, in a patient with palmar hyperhidrosis in whom endoscopic thoracic sympathectomy was impossible because of pleural adhesion. Sweating was suppressed after the thoracic sympathetic blockade, and the monitor showed a significant increase in skin resistance. The effect of sympathetic blockade could be evaluated directly and in real time using a GSR monitor.
Department of Anesthesiology, Tokyo Medical University, Hachioji Medical Center, 1163 Tate-machi, Hachioji, Tokyo 193-0998, Japan.
Hiroyuki
H
Uchino
Seiichi
S
Sasaki
Hitoshi
H
Miura
Go
G
Hirabayashi
Takahisa
T
Nishiyama
Takashi
T
Ohta
Nagao
N
Ishii
Tatsushi
T
Ito
D005712:Galvanic Skin Response / Q000187:drug effects / Q000502:physiology; D005728:Ganglia, Sympathetic / Q000000981:diagnostic imaging; D006225:Hand / Q000294:innervation / Q000503:physiopathology*; D006801:Humans; D006945:Hyperhidrosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012881:Skin Temperature / Q000502:physiology; D013546:Sweating / Q000502:physiology; D013562:Sympathectomy; D013903:Thoracic Surgery; D013904:Thoracic Vertebrae / Q000294:innervation / Q000601:surgery*; D013919:Thromboangiitis Obliterans / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome