From the Department of Anesthesiology, University of California San Diego, San Diego, California.
Outcomes Research Consortium, Cleveland, Ohio.
A A Pract. 2020 Dec;14(14):e01353. doi: 10.1213/XAA.0000000000001353.
Phantom limb pain is a common condition occurring after amputations. Percutaneous peripheral nerve stimulation (PNS) has been reported to provide analgesia for established lower extremity phantom pain. However, this modality has never been applied to upper extremity phantom pain. A patient presented with acute exacerbation of established upper extremity phantom pain 2 years following forequarter amputation. A percutaneous PNS lead placed adjacent to the patient's brachial plexus under ultrasound guidance provided analgesia of the phantom pain for several weeks. PNS of the brachial plexus may provide analgesia for patients with upper extremity phantom pain.
幻肢痛是截肢后常见的一种情况。有报道称，经皮外周神经刺激（PNS）可缓解已确诊的下肢幻肢痛。然而，这种方法从未应用于上肢幻肢痛。一位患者在前臂截肢 2 年后出现已确诊的上肢幻肢痛急性加重。在超声引导下，将一根经皮 PNS 导丝放置在患者的臂丛旁，为幻肢痛提供了数周的镇痛。臂丛 PNS 可能为上肢幻肢痛患者提供镇痛。
