P192 Stellate ganglion block as a treatment for post-traumatic stress disorder: a case report

<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted</b>: Not relevant (see information at the bottom of this page) <h3>Background and Aims</h3> The reported incidence of posttraumatic stress disorder (PTSD) is increasing—in part,due to improved recognition, but also as a result of recent arge-scale military and civilian traumatic events in the world as Russian invasion in Ukraine.Enduring a trauma and then having to relive it through nightmares, flashbacks, and anxiety attacks is a terrifying experience.In early October 2022,an international research group conducted a survey, according to which 25.9% of respondents from Ukraine had symptoms of ‘probable PTSD.’This case report demonstrate our successful treatment of acute symptoms of PTSD. <h3>Methods</h3> A 36-year-old male was the victim of an millitary conflict at Ukraine.He recived mine -blast injury of the lower extrimities.35 days he was on treatment at the hospital.He denied intensive physical pain but reported having sporadic attacks of nausea, shaking, loss of appetite, and insomnia.Twenty days post trauma, the patient complained that and he was evaluated by psychologist.The medications which was prescribed by psychologist had not provided much relief.He said that he was still experiencing insomnia and nightmares.He noted that the patient’s presentation was tearful and marked by extreme anxiety and vigilance.Based on these complaints and medical history,psychologist diagnosed PTSD. <h3>Results</h3> After the SGB,the patient experienced a major reduction in anxiety.Over the next week his improved allowing a significant reduction of antianxiety medications. Clinician Administered PTSD Scale (CAPS-5)level reduced. <h3>Conclusions</h3> Multiple CNS structures that are neuronally connected to the SNS appear to play a role in the onset and maintenance of PTSD.We report that selective blockade of the stellate ganglion relieved our patient’s symptoms of PTSD.