Treatment of neuropathic deafferentation pain using DREZ lesions; long-term results

Autor: F. Ruiz-Juretschke, F. García-Salazar, R. García-Leal, C. Fernández-Carballal, B. Iza, J.M. Garbizu, S. García-Duque, T. Panadero
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Neurología (English Edition), Vol 26, Iss 1, Pp 26-31 (2011)
Druh dokumentu: article
ISSN: 2173-5808
DOI: 10.1016/S2173-5808(11)70005-0
Popis: Introduction: Deafferentation pain secondary to spinal cord injury, brachial plexus avulsion and other peripheral nerve injuries is often refractory to conventional treatments. This study evaluates the long-term efficacy of spinal DREZ (Dorsal Root Entry Zone) lesions for the treatment of neuropathic pain syndromes caused by deafferentation. Patients and methods: A series of 18 patients with refractory deafferentation pain treated with radiofrequency DREZ lesions is presented. The immediate and long-term efficacy was measured with the Visual Analogue Scale (VAS) before and after treatment, the patient's subjective evaluation, the percentage of patients returning to work and the reduction in pain medication. Results: Pain on the VAS significantly decreased from 8.6 preoperatively to 2.9 (p
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