Abstract
A 41-year-old male was a victim of a severe motorcycle accident 17 years ago with right brachial plexus avulsion. He complains of severe pain in the right arm. His pain level is 10/10 on the VAS. The pain is crushing and burning. It is there all the time but fluctuates in severity. It is partially improved with morphine and pregabalin. He has had a cervical spinal cord stimulator for 5 years with limited success. Functionally, he has done very well after double gracilis free muscle flap. PMH significant for arthritis, plating for fractures of the right forearm, appendectomy, and hernia repair. FH positive for a grandmother with heart disease, prostate cancer in the father, diabetes in the mother, and a sister with lung cancer. Socially, he has smoked a pack a day of cigarettes for 30 years. On examination, he has no Horner’s syndrome, elbow flexion 4+, middle finger extension 4, and otherwise 0/5 in the remaining muscle groups of the right arm; there is no light touch sensation from C5 to T1 on the right.
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References
Sindou MP, Blondet E, Emery E, Mertens P (2005) Microsurgical lesioning in the dorsal root entry zone for pain due to brachial plexus avulsion: a prospective series of 55 patients. J Neurosurg 102(6):1018–1028
Xiang JP, Liu XL, Xu YB, Wang JY, Hu J (2008) Microsurgical anatomy of dorsal root entry zone of brachial plexus. Microsurgery 28(1):17–20
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Hanna, A.S. (2017). Case XVI: Arm Pain. In: Nerve Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-39694-1_16
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DOI: https://doi.org/10.1007/978-3-319-39694-1_16
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-39692-7
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