IS STELLATE GANGLION BLOCK OF VALUE IN STROKE?

Abstract
Millikan, Lundy, and Smith and Alvarez1have suggested that stellate ganglion block is of no value in patients suffering cerebrovascular accident. Previous reports disagree with this point of view.2Because of the doubt cast by these reports, we consider it timely to report our experience as a means of stressing the value of this therapeutic measure in stroke. In 1947, one of us (J. E. R.) began to do stellate ganglion blocks on stroke patients. By 1949, we had accumulated sufficient experience and had seen enough good results following this therapy to be interested in a controlled study. An arrangement was made by which every other patient admitted to the neurological wards of the Philadelphia General Hospital with a diagnosis of cerebrovascular accident could be subjected to stellate ganglion block as often as indicated. In April, 1949, 37 such patients were admitted. Ganglion blocks were effected in 18

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