case_images: PMC11110819_01
case_images: Left hand presenting with trophic changes of skin.
case_images: IMCRJ-17-497-g0001.jpg
case_images: PMC11110819_01_IMCRJ-17-497-g0001.jpg
case_images: f0001
case_images: During examination, we observed left hand pallor, spontaneous tremor, mild muscle and skin atrophy, and decreased temperature (Figure 1).
case_images: Left-sided T2 sympathetic neurolysis. On the left side, an antero-posterior view of the fluoroscopically guided procedure to place the tip of a 22G spinal needle onto the ventrolateral aspect of the T2 vertebral body. On the right side, an injection of 1mL of contrast media confirmed the lack of spread into intra-spinal structure and intravascular uptake. 3mL of 0.25% bupivacaine and 3mL of 8% phenol were injected.
case_images: IMCRJ-17-497-g0002.jpg
case_images: PMC11110819_01_IMCRJ-17-497-g0002.jpg
case_images: f0002
case_images: We performed an ipsilateral T2 sympathetic chemo-neurolysis with phenol as adjunct to drug therapy (Figure 2).
case_images: PMC11110819_02