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Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion

Following left brachial plexus avulsion, a 20‐year‐old man had phantom limb pain and remapping of sensation from his paralyzed hand onto his face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement of the phantom limb with decreased pain. Within 2 weeks following nerve graft...

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Detalles Bibliográficos
Autores principales: Tsao, Jack W., Finn, Sacha B., Miller, Matthew E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4892000/
https://www.ncbi.nlm.nih.gov/pubmed/27547774
http://dx.doi.org/10.1002/acn3.316
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author Tsao, Jack W.
Finn, Sacha B.
Miller, Matthew E.
author_facet Tsao, Jack W.
Finn, Sacha B.
Miller, Matthew E.
author_sort Tsao, Jack W.
collection PubMed
description Following left brachial plexus avulsion, a 20‐year‐old man had phantom limb pain and remapping of sensation from his paralyzed hand onto his face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement of the phantom limb with decreased pain. Within 2 weeks following nerve graft surgery, remapping of hand sensation onto the face disappeared along with resolution of phantom limb pain. Mirror therapy coupled with nerve grafting may relieve phantom limb pain due to brachial plexus avulsion and reverse hand‐to‐face remapping, suggesting that both peripheral and central mechanisms mediate development of phantom limb pain and cortical reorganization/neuroplasticity after brachial plexus avulsion.
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spelling pubmed-48920002016-08-19 Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion Tsao, Jack W. Finn, Sacha B. Miller, Matthew E. Ann Clin Transl Neurol Brief Communication Following left brachial plexus avulsion, a 20‐year‐old man had phantom limb pain and remapping of sensation from his paralyzed hand onto his face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement of the phantom limb with decreased pain. Within 2 weeks following nerve graft surgery, remapping of hand sensation onto the face disappeared along with resolution of phantom limb pain. Mirror therapy coupled with nerve grafting may relieve phantom limb pain due to brachial plexus avulsion and reverse hand‐to‐face remapping, suggesting that both peripheral and central mechanisms mediate development of phantom limb pain and cortical reorganization/neuroplasticity after brachial plexus avulsion. John Wiley and Sons Inc. 2016-05-11 /pmc/articles/PMC4892000/ /pubmed/27547774 http://dx.doi.org/10.1002/acn3.316 Text en © 2016 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Brief Communication
Tsao, Jack W.
Finn, Sacha B.
Miller, Matthew E.
Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title_full Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title_fullStr Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title_full_unstemmed Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title_short Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
title_sort reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4892000/
https://www.ncbi.nlm.nih.gov/pubmed/27547774
http://dx.doi.org/10.1002/acn3.316
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