Summary
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 pain- free, 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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References
Broseta J, Roldan P, Gonzalez-Darder J, Bordes V, Barcia-Salorio JL (1982) Chronic epidural dorsal column stimulation in the treatment of causalgic pain. Appl Neurophysiol 45: 190–194
Dieckmann G, Veras G (1984) High frequency coagulation of dorsal root entry zone in patients with deafferentation pain. Acta Neurochir (Wien) [Suppl] 33: 445–450
Falconer MA (1953) Surgical treatment of intractable phantomlimb pain. Br Med J 1: 299 - 304
Hood TW, Siegfried J (1984) Epidural versus thalamic stimulation for the management of brachial plexus lesion pain. Acta Neurochir (Wien) [Suppl] 33: 451–457
Narakas AO (1981) The effects of pain of reconstructive neurosurgery in 160 patients with traction and/or crush injury to the brachial plexus. In: Siegfried J, Zimmermann M (eds) Phantom and stump pain. Springer, Berlin Heidelberg New York, pp 126–147
Nashold BS, Ostdhal RH (1979) Dorsal root entry zone lesions for pain relief. J Neurosurg 51: 59–69
Nashold BS, Bullitt E, Ostdhal RH (1981) The role of dorsal root entry zone lesions in relief of central pain. In: Dietz J etal. (eds) Neurological surgery. Thieme, Stuttgart New York, pp 67
Samii M (1981) Thermocoagulation of the substantia gelatinosa for pain relief (preliminary report). In: Siegfried J, Zimmermann M (eds) Phantom and stump pain. Springer, Berlin Heidelberg New York, pp 156–159
Siegfried J, Zumstein H (1973) La douleur fantôme et son traitment neurochirurgical. Med Hyg 31: 867–868
Sugita K (1972) Results of stereotaxic thalamotomy for pain. Confin Neurol 34: 265–274
White JC, Swett WH (1969) Pain and the neurosurgeon. A forty-year experience. ChC Thomas, Springfield, 111
Zorub DS, Nashold BS, Cook WA (1974) Avulsion of the brachial plexus. I. A review with implications on the therapy of intractable pain. Surg Neurol 2: 347–353
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© 1987 Springer-Verlag
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Garcia-March, G. et al. (1987). Dorsal Root Entry Zone Lesion versus Spinal Cord Stimulation in the Management of Pain from Brachial Plexus Avulsion. In: Gybels, J., Hitchcock, E.R., Meyerson, B., Ostertag, C., Rossi, G.F. (eds) Advances in Stereotactic and Functional Neurosurgery 7. Acta Neurochirurgica Supplementum, vol 39. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8909-2_41
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DOI: https://doi.org/10.1007/978-3-7091-8909-2_41
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