TY - JOUR
T1 - Dorsal root entry zone lesion versus spinal cord stimulation in the management of pain from brachial plexus avulsion.
AU - Garcia-March, G.
AU - Sánchez-Ledesma, M. J.
AU - Diaz, P.
AU - Yagüe, L.
AU - Anaya, J.
AU - Gonçalves, J.
AU - Broseta, J.
N1 - Copyright:
This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicine
PY - 1987
Y1 - 1987
N2 - In six patients with total or partial brachial plexus avulsion, spinal cord stimulation was tried as pain treatment. Two patients had had amputation of the arm and suffered from phantom limb and stump pain. After a mean follow-up of 14 months two patients were painfree, one had partial relief and required analgesics and in three patients there was no effect. In eleven patients, including the three patients in whom spinal cord stimulation had failed to produce a long-lasting pain relief, dorsal root entry zone (DREZ) lesions were performed. At early follow-ups all these patients reported substantial pain relief, but after a mean follow-up of 17 months the results were less favorable: Three patients were pain-free, three had a marked improvement and five had recurrence of the original pain. Neither of the two methods of treatment produced any serious side-effects or permanent sequelae.
AB - In six patients with total or partial brachial plexus avulsion, spinal cord stimulation was tried as pain treatment. Two patients had had amputation of the arm and suffered from phantom limb and stump pain. After a mean follow-up of 14 months two patients were painfree, one had partial relief and required analgesics and in three patients there was no effect. In eleven patients, including the three patients in whom spinal cord stimulation had failed to produce a long-lasting pain relief, dorsal root entry zone (DREZ) lesions were performed. At early follow-ups all these patients reported substantial pain relief, but after a mean follow-up of 17 months the results were less favorable: Three patients were pain-free, three had a marked improvement and five had recurrence of the original pain. Neither of the two methods of treatment produced any serious side-effects or permanent sequelae.
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U2 - 10.1007/978-3-7091-8909-2_41
DO - 10.1007/978-3-7091-8909-2_41
M3 - Article
C2 - 2823541
AN - SCOPUS:0023082666
SN - 0065-1419
VL - 39
SP - 155
EP - 158
JO - Acta neurochirurgica. Supplementum
JF - Acta neurochirurgica. Supplementum
ER -