Peripheral Nerve Stimulation for Chronic Intractable Neuropathic Pain Following a Brachial Plexus Avulsion Injury: A Case Report

被引：0

作者：

Tate, Quinn ^{[1
,2
,4
]}

Pagan-Rosado, Robert ^{[3
]}

Hallo-Carrasco, Alejandro ^{[2
]}

Hurdle, Mark Friedrich B. ^{[2
]}

机构：

[1] Penn Med, Dept Phys Med & Rehabil, Philadelphia, PA USA

[2] Mayo Clin, Dept Pain Med, Jacksonville, FL USA

[3] Mayo Clin, Dept Phys Med & Rehabil, Rochester, MN USA

[4] Penn Med, Dept Phys Med & Rehabil, 1800 Lombard St, Philadelphia, PA 19146 USA

来源：

A & A PRACTICE | 2023年 / 17卷 / 05期

关键词：

D O I：

10.1213/XAA.0000000000001681

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Brachial plexus avulsion injuries result in permanent motor and sensory deficits, leading to debilitating symptoms. We report the case of a 25-year-old man with chronic pain following right-sided C5-T1 nerve root avulsion without evidence of peripheral nerve injury. His pain was recalcitrant to medical and neurosurgical interventions. However, he experienced substantial (>70%) pain relief with peripheral nerve stimulation targeting the median nerve. These results agree with data suggesting collateral sprouting of sensory nerves occurs following a brachial plexus injury. Further study is needed if we are to understand the mechanisms of the peripheral nerve stimulator as a treatment option.

引用

页数：4

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