High cervical spinal cord stimulation after failed dorsal root entry zone surgery for brachial plexus avulsion pain

被引：17
作者：
Lai, Hung-Yi
Lee, Ching-Yi
Lee, Shih-Tseng [1 ]
机构：
[1] Chang Gung Mem Hosp, Dept Neurosurg, Tao Yuan 333, Taiwan
来源：
SURGICAL NEUROLOGY | 2009年 / 72卷 / 03期
关键词：
Spinal cord stimulation; Dorsal column stimulation; Brachial plexus avulsion; Pain; DEAFFERENTATION PAIN; LESIONS; MECHANISMS;
D O I：
10.1016/j.surneu.2008.06.019
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码：286 / 289
页数：4
相关论文
共 17 条
[1]  
BENNETT MI, 1994, J ROY SOC MED, V87, P5
[2]   ULTRASONIC DREZ-OPERATIONS FOR TREATMENT OF PAIN DUE TO BRACHIAL-PLEXUS AVULSION [J].
DREVAL, ON .
ACTA NEUROCHIRURGICA, 1993, 122 (1-2) :76-81
[3]  
Garcia-March G, 1987, Acta Neurochir Suppl (Wien), V39, P155
[4]   Physiology of spinal cord stimulation: Review and update [J].
Linderoth, B ;
Foreman, RD .
NEUROMODULATION, 1999, 2 (03) :150-164
[5]   PAIN MECHANISMS - A NEW THEORY [J].
MELZACK, R ;
WALL, PD .
SCIENCE, 1965, 150 (3699) :971-+
[6]   Spinal cord stimulation - Mechanisms of action [J].
Oakley, JC ;
Prager, JP .
SPINE, 2002, 27 (22) :2574-2583
[7]   Spinal cord stimulation in the management of pain from brachial plexus avulsion [J].
Piva, B ;
Shaladi, A ;
Saltari, R ;
PhD, GG .
NEUROMODULATION, 2003, 6 (01) :27-31
[8]  
Prestor B, 2006, CROAT MED J, V47, P271
[9]   Microsurgical junctional DREZ coagulation for treatment of deafferentation pain syndromes [J].
Prestor, B .
SURGICAL NEUROLOGY, 2001, 56 (04) :259-265
[10]   Results of DREZ coagulations for pain related to plexus lesions, spinal cord injuries and postherpetic neuralgia [J].
Rath, SA ;
Braun, V ;
Soliman, N ;
Antoniadis, G ;
Richter, HP .
ACTA NEUROCHIRURGICA, 1996, 138 (04) :364-369
12