The Effect of Bilateral, Two-Level Cervical Sympathetic Chain Blocks on Specific Symptom Clusters for Traumatic Brain Injury, Independent of Concomitant PTSD Symptoms
2024

Cervical Sympathetic Chain Blocks for Traumatic Brain Injury Symptoms

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): Sean W. Mulvaney, James H. Lynch, Sanjay Mahadevan, Kyle J. Dineen, Kristine L. Rae Olmsted

Primary Institution: Uniformed Services University

Hypothesis

Does performing bilateral, two-level cervical sympathetic chain blocks improve symptoms associated with traumatic brain injury that do not overlap with PTSD?

Conclusion

Bilateral cervical sympathetic chain blocks may help improve TBI symptoms, even in patients with PTSD.

Supporting Evidence

  • All patients showed improvement in their NSI scores after treatment.
  • The average NSI score improved by 49.51% at one month post-treatment.
  • Improvements were noted in both male and female patients.
  • The study utilized a novel NSI sub-score to evaluate TBI-specific symptoms.

Takeaway

Doctors used a special injection to help people with brain injuries feel better, even if they also had PTSD. It worked really well!

Methodology

A retrospective chart review was conducted, collecting NSI scores from patients before and after treatment.

Potential Biases

Data entry was performed by a single keyer, which may introduce bias.

Limitations

The small sample size and short follow-up period limit the generalizability and long-term predictions of the results.

Participant Demographics

13 males and 7 females with a history of TBI and PTSD.

Digital Object Identifier (DOI)

10.3390/brainsci14121193

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