臂丛神经撕脱伤疼痛行背根入髓区手术失败后行高位颈脊髓刺激术
High cervical spinal cord stimulation after failed dorsal root entry zone surgery for brachial plexus avulsion pain.
作者信息
Lai Hung-Yi, Lee Ching-Yi, Lee Shih-Tseng
机构信息
Department of Neurosurgery, Chang Gung Memorial Hospital and Chang Gung University, Kweishan, Taoyuan 333, Taiwan.
出版信息
Surg Neurol. 2009 Sep;72(3):286-9; discussion 289. doi: 10.1016/j.surneu.2008.06.019. Epub 2009 Jan 15.
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.
背景
许多患者在臂丛神经撕脱伤后出现顽固性疼痛。本文描述了一种为一名在DREZ手术治疗疼痛失败的患者进行高位颈髓刺激（SCS）的可行方法。
病例描述
一名70岁男性在15年前因车祸导致右侧臂丛神经撕脱伤。自那时起，他一直抱怨右上肢慢性自发性疼痛。两次DREZ手术均未能缓解疼痛。高位颈髓刺激成功控制了疼痛。
结论
刺激高位颈髓对治疗臂丛神经撕脱伤后DREZ手术未能缓解的顽固性疼痛有效。
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