Rehabilitation Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
Physical Medicine and Rehabilitation, Temple University, Philadelphia, Pennsylvania, USA.
BMJ Case Rep. 2021 Nov 30;14(11):e245113. doi: 10.1136/bcr-2021-245113.
A 46-year-old woman underwent a cervical radiofrequency ablation (RFA) for chronic neck pain. Following the procedure, two areas surrounding the grounding pad in the lumbar region developed full thickness third-degree burns. Burn injuries following cervical RFA are rarely reported and are most often associated with cardiac and solid tumour RFA. Only one other case has been reported in literature with a similar outcome following a thoracic facet RFA. In our case, the lesion was directly from the ground pad and not from the radiofrequency electrode, which is more often the culprit. This is the first case reported in the literature of a full-thickness skin burn from a cervical RFA. Physicians should be aware of the potential for severe burns around the RF probe and ground pad as sequelae of RFA, and we caution the use of sedation during the procedure, as patients will unlikely be able to report any unusual sensation.
一位 46 岁女性因慢性颈痛接受了颈椎射频消融术（RFA）。术后，腰部接地垫周围的两个区域出现了全层三度烧伤。颈椎 RFA 后发生烧伤的情况很少见，通常与心脏和实体瘤 RFA 有关。文献中仅报道过另 1 例类似结果的胸椎关节突 RFA 病例。在我们的病例中，病变直接来自接地垫，而不是来自射频电极，射频电极通常是罪魁祸首。这是文献中首例报道的颈椎 RFA 导致全层皮肤烧伤的病例。医生应意识到 RFA 后 RF 探头和接地垫周围可能会出现严重烧伤，我们还警告在手术过程中使用镇静剂，因为患者可能无法报告任何异常感觉。
