Percutaneous Implantation of a Brachial Plexus Electrode for Management of Pain Syndrome Caused by a Traction Injury

Goroszeniuk, Teodor; Kothari, S.; Hamann, Wolfgang

doi:10.1111/j.1525-1403.2007.00103.x

Cited by 32 publications

(22 citation statements)

References 20 publications

(17 reference statements)

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“…The anticipated benefit from this ''anteriorly" directed current would be lower perception and usage ranges, and subsequent increased battery longevity. 15,16 …”

Section: Discussionmentioning

confidence: 98%

Peripheral median nerve stimulation for the treatment of iatrogenic complex regional pain syndrome (CRPS) type II after carpal tunnel surgery

Mirone¹,

Natale²,

Rotondo³

2009

Journal of Clinical Neuroscience

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“…The anticipated benefit from this ''anteriorly" directed current would be lower perception and usage ranges, and subsequent increased battery longevity. 15,16 …”

Section: Discussionmentioning

confidence: 98%

Peripheral median nerve stimulation for the treatment of iatrogenic complex regional pain syndrome (CRPS) type II after carpal tunnel surgery

Mirone¹,

Natale²,

Rotondo³

2009

Journal of Clinical Neuroscience

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“…Additionally, they were asked to describe their pain with the use of the pain questionnaire [6, 19]. …”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Peripheral nerve stimulation (PNS) has been used by a small group of neurosurgeons for the treatment of chronic peripheral neuropathic pain since 1967 [30]. Although in literature, PNS was demonstrated to be quite successful in the short and medium term [4, 6, 9, 21, 27, 29], PNS has never become a standard technique for treatment of NP syndromes. This may be due to technical difficulties with paddle-type electrodes inserted around the peripheral nerve and to the risk of infections or electrode dislocation.…”

Section: Introductionmentioning

confidence: 99%

Chronic post-traumatic neuropathic pain of brachial plexus and upper limb: a new technique of peripheral nerve stimulation

et al. 2014

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The aim of the study was to evaluate the effect on pain relief in patients with peripheral neuropathic pain after brachial plexus injuries using an implanted peripheral nerve stimulator applied directly to the nerve branch involved into the axillary cavity. Seven patients with post-traumatic brachial plexus lesions or distal peripheral nerve complaining of severe intractable chronic pain were enrolled in a single-centre, open-label trial. Conventional drugs and traditional surgical treatment were not effective. Patients underwent careful neurological evaluation, pain questionnaires and quantitative sensory testing (QST). Surgical treatment consists of a new surgical technique: a quadripolar electrode lead was placed directly on the sensory peripheral branch of the main nerve involved, proximally to the site of lesion, into the axillary cavity. To assess the effect, we performed a complete neuroalgological evaluation and QST battery after 1 week and again after 1, 6 and 12 weeks. All patients at baseline experienced severe pain with severe positive phenomena in the median (5) and/or radial (2) territory. After turning on the neuro-stimulator system, all patients experienced pain relief within a few minutes (>75 % and >95 % in most), with long-lasting pain relief with a reduction in mean Numerical Rating Scale (NRS) of 76.2 % after 6 months and of 71.5 % after 12 months. No significant adverse events occurred. We recommend and encourage this surgical technique for safety reasons; complications such as dislocation of electrocatheters are avoided. The peripheral nerve stimulation is effective and in severe neuropathic pain after post-traumatic nerve injuries of the upper limbs.

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“…Although targeted neuromodulation is a relatively new technique in interventional pain medicine, it has provided good to excellent results in patients suffering from neuropathic pain of various origins 4,5 [3,[13][14][15][16][17][18]. The first targeted implantation procedure took place in 2002 in the United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous targeted neuromodulation technique for the treatment of intractable chronic postthoracotomy pain

Theodosiadis

Grosomanidis

Samoladas

et al. 2010

Journal of Clinical Anesthesia

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Percutaneous Implantation of a Brachial Plexus Electrode for Management of Pain Syndrome Caused by a Traction Injury

Cited by 32 publications

References 20 publications

Peripheral median nerve stimulation for the treatment of iatrogenic complex regional pain syndrome (CRPS) type II after carpal tunnel surgery

Peripheral median nerve stimulation for the treatment of iatrogenic complex regional pain syndrome (CRPS) type II after carpal tunnel surgery

Chronic post-traumatic neuropathic pain of brachial plexus and upper limb: a new technique of peripheral nerve stimulation

Subcutaneous targeted neuromodulation technique for the treatment of intractable chronic postthoracotomy pain

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