'No Sweat' CT-Guided Injection Treats Embarrassing Hand Condition

Images (.JPG format)

Picture of a doctor preparing CT fluoroscopy guided thoracic sympathectomy.
Figure 1. Picture of a doctor preparing CT fluoroscopy guided thoracic sympathectomy.

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Example of palmar hyperhidrosis (sweaty hand)
Figure 2. Example of palmar hyperhidrosis (sweaty hand).

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Image of CT-guided neurolysis (percutaneous sympathectomy).
Figure 3. Image of CT-guided neurolysis (percutaneous sympathectomy).

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Equipment used in CT fluoroscopy.
Figure 4. Equipment used in CT fluoroscopy.

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An illustration of the spine . . .
Figure 5. An illustration of the spine, pinpointing the location where the injection is given in a CT fluoroscopy guided thoracic sympathectomy.

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Image showing the location of injection in a CT fluoroscopy guided thoracic sympathectomy.
Figure 6. Image showing the location of injection in a CT fluoroscopy guided thoracic sympathectomy.

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Image showing the widening of the pleural space in a CT fluoroscopy guided thoracic sympathectomy
Figure 7. Image showing the widening of the pleural space in a CT fluoroscopy guided thoracic sympathectomy.

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Image showing the contrast and phenol injection in a CT fluoroscopy guided thoracic sympathectomy.
Figure 8. Image showing the contrast and phenol injection in a CT fluoroscopy guided thoracic sympathectomy.

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Image pinpointing the location for injection in a CT fluoroscopy guided thoracic sympathectomy.
Figure 9. Image pinpointing the location for injection in a CT fluoroscopy guided thoracic sympathectomy.

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Patient undergoing a CT fluoroscopy guided thoracic sympathectomy.
Figure 10. Patient undergoing a CT fluoroscopy guided thoracic sympathectomy.

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CT image during a CT fluoroscopy guided thoracic sympathectomy
Figure 11. CT image during a CT fluoroscopy guided thoracic sympathectomy.

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Patient prepared to undergo a CT fluoroscopy guided thoracic sympathectomy.
Figure 12. Patient prepared to undergo a CT fluoroscopy guided thoracic sympathectomy.

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Interventional radiology team performing a CT fluoroscopy guided thoracic sympathectomy
Figure 13. Interventional radiology team performing a CT fluoroscopy guided thoracic sympathectomy.

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The technique
Figure 14. The technique — showing a needle inserted into the 3rd thoracic vertebra. 1) locating target 2) widening of pleural space 3) contrast and phenal injection.
Image of needle inserted into the 3rd thoracic vertebra
Figure 15. Image of needle inserted into the 3rd thoracic vertebra.

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