Phenol Neurolysis for the Management of Shoulder Spasticity in Early Recovery From Traumatic Brain Injury: A Case Report.

Autor: Mas MF; Department of Physical Medicine and Rehabilitation, University of Texas Health Sciences Center at Houston, Houston, and TIRR Memorial Hermann, Houston, TX., DiTommaso C; Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX., Li S; Department of Physical Medicine and Rehabilitation, University of Texas Health Sciences Center at Houston, Houston, and TIRR Memorial Hermann, Houston, TX.
Jazyk: angličtina
Zdroj: PM & R : the journal of injury, function, and rehabilitation [PM R] 2019 Jan; Vol. 11 (1), pp. 90-93. Date of Electronic Publication: 2019 Jan 16.
DOI: 10.1016/j.pmrj.2018.06.002
Abstrakt: This case describes a 16-year-old boy who suffered a severe traumatic brain injury. The patient gradually recovered but developed debilitating spasticity mainly in left triceps muscle, abnormal positioning of shoulder girdle complex, and shoulder pain. Phenol (6%) was injected to axillary and radial nerves under the guidance of electrical stimulation and ultrasound imaging at 10 weeks after the initial injury. After injection, triceps spasticity and shoulder pain were immediately reduced, and abnormal positions of shoulder girdle complex and elbow joint gradually returned to functional limits over 2 weeks. This case suggests that phenol neurolysis for spasticity management in early recovery could yield functional recovery.Level of Evidence: V.
(© 2018 American Academy of Physical Medicine and Rehabilitation.)
Databáze: MEDLINE
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