Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain

A 52-year-old male was involved in a car accident 30 years ago. He presented with complete motor paralysis of the left upper limb. This evolved into severe neuropathic pain (mainly shocking and burning sensation) distributed from C5 to T1 dermatomes. He was first treated with spinal cord stimulation...

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Detalles Bibliográficos
Autores principales: Marques, Rômulo A. S., Cavalcante, Rodrigo A. C., Pimenta, Lucas M. C. E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542545/
https://www.ncbi.nlm.nih.gov/pubmed/36285261
http://dx.doi.org/10.3171/2020.7.FOCVID2035
Descripción
Sumario:A 52-year-old male was involved in a car accident 30 years ago. He presented with complete motor paralysis of the left upper limb. This evolved into severe neuropathic pain (mainly shocking and burning sensation) distributed from C5 to T1 dermatomes. He was first treated with spinal cord stimulation (SCS), which did not show efficacy for pain control, maintaining high visual analog scale (VAS) scores. He then received complementary treatment with left cervical DREZotomy to mitigate suffering and preserve SCS function to control “mirror pain.” The video can be found here: https://youtu.be/iTvbLAZ3odM

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