High cervical spinal cord stimulation after failed dorsal root entry zone surgery for brachial plexus avulsion pain
- PMID: 19150110
- DOI: 10.1016/j.surneu.2008.06.019
High cervical spinal cord stimulation after failed dorsal root entry zone surgery for brachial plexus avulsion pain
Abstract
Background: Many patients had intractable pain after brachial plexus avulsion. This article describes a feasible method of high cervical SCS for a patient who failed in DREZ surgery to treat the pain.
Case description: A 70-year-old man had right brachial plexus avulsion after a car accident 15 years ago. He complained of chronic spontaneous pain over his right upper limb since then. Two DREZ surgeries failed to relieve the pain. The pain was successfully controlled by high cervical SCS.
Conclusion: Stimulating the high cervical spinal cord is effective for treating intractable pain after brachial plexus avulsion, which the DREZ surgery failed to relieve.
Similar articles
-
Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report.Neurosurgery. 2007 Jan;60(1):E205; discussion E205. doi: 10.1227/01.NEU.0000249195.76527.61. Neurosurgery. 2007. PMID: 17228230
-
Treatment of refractory pain after brachial plexus avulsion with dorsal root entry zone lesions.Neurosurgery. 2001 Jun;48(6):1269-75; discussion 1275-7. Neurosurgery. 2001. PMID: 11383729
-
Microsurgical anatomy of dorsal root entry zone of brachial plexus.Microsurgery. 2008;28(1):17-20. doi: 10.1002/micr.20438. Microsurgery. 2008. PMID: 17994595
-
Neuromodulation of the cervical spinal cord in the treatment of chronic intractable neck and upper extremity pain: a case series and review of the literature.Pain Physician. 2007 Mar;10(2):305-11. Pain Physician. 2007. PMID: 17387353 Review.
-
[Chronic spinal cord stimulation in the treatment of neurogenic pain. Cooperative and retrospective study on 20 years of follow-up].Neurochirurgie. 1995;41(2):73-86; discussion 87-8. Neurochirurgie. 1995. PMID: 7630466 Review. French.
Cited by
-
High-level cervical spinal cord stimulation used to treat intractable pain arising from transverse myelitis caused by schistosomiasis.J Korean Neurosurg Soc. 2010 Feb;47(2):151-4. doi: 10.3340/jkns.2010.47.2.151. Epub 2010 Feb 28. J Korean Neurosurg Soc. 2010. PMID: 20224718 Free PMC article.
-
Chronic post-traumatic neuropathic pain of brachial plexus and upper limb: a new technique of peripheral nerve stimulation.Neurosurg Rev. 2014 Jul;37(3):473-79; discussion 479-80. doi: 10.1007/s10143-014-0523-0. Epub 2014 Feb 21. Neurosurg Rev. 2014. PMID: 24558032 Free PMC article.
-
Surgical Neuromodulation of Traumatic Brachial Plexus Injuries a Systematic Review and Meta-analysis.Med Arch. 2023;77(5):370-376. doi: 10.5455/medarh.2023.77.370-376. Med Arch. 2023. PMID: 38299090 Free PMC article.
-
Tight adhesions after spinal cord stimulation observed during dorsal root entry zone lesioning for pain after spinal root avulsion: illustrative cases.J Neurosurg Case Lessons. 2022 Oct 24;4(17):CASE22145. doi: 10.3171/CASE22145. Print 2022 Oct 24. J Neurosurg Case Lessons. 2022. PMID: 36281477 Free PMC article.
-
Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion Injuries: Case Series and Literature Review.Front Pain Res (Lausanne). 2021 Nov 17;2:749801. doi: 10.3389/fpain.2021.749801. eCollection 2021. Front Pain Res (Lausanne). 2021. PMID: 35295454 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical