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Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury
Neuropathic pain in the upper extremity due to cervical root avulsion injury is refractory to medical treatments. Superficial layers in the posterior horn of spinal gray matter, including the substantia gelatinosa, are the main target of dorsal root entry zone (DREZ) lesioning, which has been the mo...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542433/ https://www.ncbi.nlm.nih.gov/pubmed/36285270 http://dx.doi.org/10.3171/2020.7.FOCVID2020 |
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author | Takai, Keisuke Taniguchi, Makoto |
author_facet | Takai, Keisuke Taniguchi, Makoto |
author_sort | Takai, Keisuke |
collection | PubMed |
description | Neuropathic pain in the upper extremity due to cervical root avulsion injury is refractory to medical treatments. Superficial layers in the posterior horn of spinal gray matter, including the substantia gelatinosa, are the main target of dorsal root entry zone (DREZ) lesioning, which has been the most effective surgical treatment for the relief of intractable pain; however, residual pain and a decrease in pain relief during the long-term follow-up period have been reported. Based on pain topography in the most recent basic studies, the conventional DREZ lesioning procedure was modified to improve clinical outcomes. The video can be found here: https://youtu.be/PyaAGmAE7Og |
format | Online Article Text |
id | pubmed-9542433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-95424332022-10-24 Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury Takai, Keisuke Taniguchi, Makoto Neurosurg Focus Video Article Neuropathic pain in the upper extremity due to cervical root avulsion injury is refractory to medical treatments. Superficial layers in the posterior horn of spinal gray matter, including the substantia gelatinosa, are the main target of dorsal root entry zone (DREZ) lesioning, which has been the most effective surgical treatment for the relief of intractable pain; however, residual pain and a decrease in pain relief during the long-term follow-up period have been reported. Based on pain topography in the most recent basic studies, the conventional DREZ lesioning procedure was modified to improve clinical outcomes. The video can be found here: https://youtu.be/PyaAGmAE7Og American Association of Neurological Surgeons 2020-10-01 /pmc/articles/PMC9542433/ /pubmed/36285270 http://dx.doi.org/10.3171/2020.7.FOCVID2020 Text en © 2020 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY-NC-ND license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ). |
spellingShingle | Article Takai, Keisuke Taniguchi, Makoto Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title | Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title_full | Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title_fullStr | Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title_full_unstemmed | Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title_short | Modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
title_sort | modified dorsal root entry zone lesioning for pain relief in cervical root avulsion injury |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542433/ https://www.ncbi.nlm.nih.gov/pubmed/36285270 http://dx.doi.org/10.3171/2020.7.FOCVID2020 |
work_keys_str_mv | AT takaikeisuke modifieddorsalrootentryzonelesioningforpainreliefincervicalrootavulsioninjury AT taniguchimakoto modifieddorsalrootentryzonelesioningforpainreliefincervicalrootavulsioninjury |