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
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author Marques, Rômulo A. S.
Cavalcante, Rodrigo A. C.
Pimenta, Lucas M. C. E.
author_facet Marques, Rômulo A. S.
Cavalcante, Rodrigo A. C.
Pimenta, Lucas M. C. E.
author_sort Marques, Rômulo A. S.
collection PubMed
description 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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spelling pubmed-95425452022-10-24 Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain Marques, Rômulo A. S. Cavalcante, Rodrigo A. C. Pimenta, Lucas M. C. E. Neurosurg Focus Video Article 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 American Association of Neurological Surgeons 2020-10-01 /pmc/articles/PMC9542545/ /pubmed/36285261 http://dx.doi.org/10.3171/2020.7.FOCVID2035 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
Marques, Rômulo A. S.
Cavalcante, Rodrigo A. C.
Pimenta, Lucas M. C. E.
Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title_full Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title_fullStr Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title_full_unstemmed Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title_short Brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and DREZotomy for complex pain
title_sort brachial plexus avulsion neuropathic refractory pain: association of spinal cord stimulation and drezotomy for complex pain
topic Article
url 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
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