Evidence map›Paper›PMID 34922127›Full record

ArticleJournal of neuroimmunology2022

Stellate ganglion block reduces symptoms of Long COVID: A case series.

Luke D Liu, Deborah L Duricka

4 registry-linked trialsOpen access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of neuroimmunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05445921 phase1 / phase2completednot on this map

Stellate Ganglion Block for the Treatment of COVID-19-Induced Olfactory Dysfunction: A Prospective Pilot Study

TypeinterventionalSponsorWashington University School of MedicineRan2022 to 2022Enrolled20ConditionsAnosmia, Hyposmia, Parosmia, Olfactory DisorderArmsStellate Ganglion Block
NCT05638620 phase1completednot on this mapstarted 2023, after this paper: background citation

Evaluating the Effectiveness of Dual Sympathetic Blocks for Patients Experiencing Sympathetically-Mediated Symptoms From Post-Acute Sequelae of SARS-CoV-2 (PASC)

TypeinterventionalSponsorJonathann Kuo, MDRan2023 to 2023Enrolled20ConditionsPost Acute COVID-19 Syndrome, Long COVID, Long Covid19, COVID-19 RecurrentArmsstellate ganglion block with 0.5% bupivacaine
NCT05664711 phase1completednot on this mapstarted 2023, after this paper: background citation

Effect of Stellate Ganglion Block on ME/CFS Symptoms and Metabolites

TypeinterventionalSponsorNeuroversion, Inc.Ran2023 to 2024Enrolled10ConditionsEncephalomyelitis, Myalgic, Chronic Fatigue Syndrome, Chronic Fatigue Disorder, Chronic Fatigue and Immune Dysfunction SyndromeArmsBupivacaine Injection
NCT06253806 phase2completednot on this mapstarted 2023, after this paper: background citation

Stellate Ganglion Block for the Treatment of COVID-19-Induced Parosmia: Double-Blinded, Placebo-Controlled Randomized Clinical Trial

TypeinterventionalSponsorWashington University School of MedicineRan2023 to 2024Enrolled48ConditionsCOVID-19-Induced ParosmiaArmsStellate Ganglion Block, Placebo Sham Injection
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  13. Parosmia: Pathophysiology and Management.Current allergy and asthma reports · 2025
    Review
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  15. Article
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  18. Clinical studies in COVID-related olfactory disorders: Review of an institutional experience.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Luke D LiuNeuroversion Inc., Anchorage, AK, USA. Electronic address: lliu@neuroversion.net.
Deborah L DurickaNeuroversion Inc., Anchorage, AK, USA. Electronic address: dduricka@neuroversion.net.
Andover Eye Associates · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After recovering from COVID-19, a significant proportion of symptomatic and asymptomatic individuals develop Long COVID. Fatigue, orthostatic intolerance, brain fog, anosmia, and ageusia/dysgeusia in Long COVID resemble "sickness behavior," the autonomic nervous system response to pro-inflammatory cytokines (Dantzer et al., 2008). Aberrant network adaptation to sympathetic/parasympathetic imbalance is expected to produce long-standing dysautonomia. Cervical sympathetic chain activity can be blocked with local anesthetic, allowing the regional autonomic nervous system to "reboot." In this case series, we successfully treated two Long COVID patients using stellate ganglion block, implicating dysautonomia in the pathophysiology of Long COVID and suggesting a novel treatment.

Indexed as

AdultAutonomic Nerve BlockCOVID-19FemaleHumansPost-Acute COVID-19 SyndromeSARS-CoV-2Stellate GanglionCerebral blood flowDysautonomiaLong COVID/PASCMyalgic encephalitis/chronic fatigue syndrome (ME/CFS)Postural orthopedic tachycardia syndrome (POTS)Stellate ganglion block

Identifiers

PMID34922127
PMCPMC8653406
OpenAlexW4200300483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.