| Autor: |
Ferreira-Silva N; Department of Physical Medicine & Rehabilitation, Hospital Professor Doutor Fernando Fonseca. Amadora, 2720-276, Portugal., Ferreira-Dos-Santos G; Department of Anesthesiology & Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto. Toronto, ON, M5T 2S8, Canada., Gupta S; Department of Pain Medicine, Mayo Clinic. Jacksonville, FL 32224, USA., Hunt CL; Department of Pain Medicine, Mayo Clinic. Jacksonville, FL 32224, USA., Eldrige JS; Department of Pain Medicine, Mayo Clinic. Jacksonville, FL 32224, USA., Pingree MJ; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic. Rochester, MN 55905, USA., Clendenen SR; Department of Anesthesiology & Perioperative Medicine, Mayo Clinic. Jacksonville, FL 32224, USA., Hurdle MFB; Department of Pain Medicine, Mayo Clinic. Jacksonville, FL 32224, USA. |
| Abstrakt: |
During the last two decades, with the advent of recent technology, peripheral nerve stimulation has become an appealing modality at the forefront of pain management. In this case series, we document the clinical rationale and technical considerations on three of the most challenging cases, refractory to previous interventions, that were treated by our team with an ultrasound-guided percutaneous peripheral nerve stimulator targeting the musculocutaneous, bilateral greater occipital and subcostal nerves. At the 6-month follow-up, all patients experienced greater than 50% relief of baseline pain, with a near-complete resolution of pain exacerbations. Furthermore, to our knowledge, this is the first report of an ultrasound-guided percutaneous technique of a peripheral nerve stimulator targeting the musculocutaneous and subcostal nerves. |
