Supraclavicular sympathetic blockade via modified stellate ganglion block for the management of persistent vasomotor symptoms in a patient with breast cancer

Stellate ganglion block (SGB) has been used for the management of sympathetically mediated pain and for the treatment of refractory vasomotor symptoms in women during perimenopause and in those experiencing vasomotor symptoms secondary to adjuvant endocrine therapy for breast cancer. We present the case of a patient with a history of breast cancer receiving tamoxifen who developed severe hot flashes refractory to medical management. The patient underwent an ultrasound-guided supraclavicular stellate ganglion block, resulting in a favorable clinical response that was sustained for six months.