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Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 407539, 2 pages
http://dx.doi.org/10.1155/2012/407539
Case Report

Idiopathic Peripheral Neuropathy Responsive to Sympathetic Nerve Blockade and Oral Clonidine

Department of Anesthesia, Vanderbilt University Medical Center, Nashville, TN 37212, USA

Received 23 April 2012; Accepted 24 July 2012

Academic Editors: U. Buyukkocak, S. K. Dube, T. Ho, T. Horiguchi, C.-H. Hsing, and B. Tan

Copyright © 2012 Jenna L. Walters et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 52-year-old female presented with idiopathic stocking-glove neuropathy. She underwent a series of right and left stellate ganglion blocks with ropivacaine and clonidine, followed by lumbar sympathetic blocks. This resulted in complete symptom relief for two weeks. These procedures were repeated after a two-month interval; at that time she was still experiencing partial relief from the first series. She again remained completely pain free for several weeks following the injections. As the pain partially returned, daily oral clonidine was initiated and resulted in almost complete cessation of her symptoms, which persisted at a three-month follow-up examination.