Ventrolateral Partial Dorsal Root Entry Zone Rhizotomy for Occipital Neuralgia

Rasskazoff, Serge; Kaufmann, Anthony M.

doi:10.1155/2005/784750

Cited by 11 publications

(2 citation statements)

References 15 publications

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“…After the dorsal rootlets on C1, C2, C3, and C4 were sectioned, patients with refractory occipital neuralgia could feel pain relief and improvement in function [30,31]. Dorsal root entry zone lesion is an effective intervention for the pain of brachial plexus avulsion [32,33].…”

Section: Discussionmentioning

confidence: 99%

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Duan

Luo

Gao

et al. 2015

Interdisciplinary Neurosurgery

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Selective dorsal rhizotomy is an effective method to reduce spasticity of the lower limbs. However, functional outcomes in the upper limb following selective dorsal rhizotomy at the cervical level have not been reported.Here we report the clinical course after selective dorsal rhizotomy at the cervical level in a patient with hemiplegic spasticity caused by brain injury. The selective dorsal rootlets at the cervical level were sectioned under electrophysiological monitoring. The patient was followed for 1 year to evaluate the outcome of surgery. The spasticity in the upper limb was reduced and the passive range of motion and function of movement improved. However, the effectiveness and the safety of operation should be studied further in clinical trials.

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Section: Discussionmentioning

confidence: 99%

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Duan

Luo

Gao

et al. 2015

Interdisciplinary Neurosurgery

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“…16,32 The long-term efficacy of these procedures is unknown, making it difficult for patients and physicians to optimize refractory ON management. In this report, we describe our 14-year experience in a cohort of patients who underwent CDR for refractory ON.…”

mentioning

confidence: 99%

Long-term outcomes of intradural cervical dorsal root rhizotomy for refractory occipital neuralgia

Gande

Chivukula

Moossy³

et al. 2016

JNS

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OBJECT Occipital neuralgia (ON) causes chronic pain in the cutaneous distribution of the greater and lesser occipital nerves. The long-term efficacy of cervical dorsal root rhizotomy (CDR) in the management of ON has not been well described. The authors reviewed their 14-year experience with CDR to assess pain relief and functional outcomes in patients with medically refractory ON. METHODS A retrospective chart review of 75 ON patients who underwent cervical dorsal root rhizotomy, from 1998 to 2012, was performed. Fifty-five patients were included because they met the International Headache Society's (IHS) diagnostic criteria for ON, responded to CT-guided nerve blocks at the C-2 dorsal nerve root, and had at least one follow-up visit. Telephone interviews were additionally used to obtain data on patient satisfaction. RESULTS Forty-two patients (76%) were female, and the average age at surgery was 46 years (range 16–80). Average follow up was 67 months (range 5–150). Etiologies of ON included the following: idiopathic (44%), posttraumatic (27%), postsurgical (22%), post–cerebrovascular accident (4%), postherpetic (2%), and postviral (2%). At last follow-up, 35 patients (64%) reported full pain relief, 11 (20%) partial relief, and 7 (16%) no pain relief. The extent of pain relief after CDR was not significantly associated with ON etiology (p = 0.43). Of 37 patients whose satisfaction-related data were obtained, 25 (68%) reported willingness to undergo repeat surgery for similar pain relief, while 11 (30%) reported no such willingness; a single patient (2%) did not answer this question. Twenty-one individuals (57%) reported that their activity level/functional state improved after surgery, 5 (13%) reported a decline, and 11 (30%) reported no difference. The most common acute postoperative complications were infections in 9% (n = 5) and CSF leaks in 5% (n = 3); chronic complications included neck pain/stiffness in 16% (n = 9) and upper-extremity symptoms in 5% (n = 3) such as trapezius weakness, shoulder pain, and arm paresthesias. CONCLUSIONS Cervical dorsal root rhizotomy provides an efficacious means for pain relief in patients with medically refractory ON. In the appropriately selected patient, it may lead to optimal outcomes with a relatively low risk of complications.

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Occipital Neuralgia

Cohen¹,

Oh²,

Whiting³

2009

Textbook of Stereotactic and Functional Neurosurgery

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Ventrolateral Partial Dorsal Root Entry Zone Rhizotomy for Occipital Neuralgia

Abstract: The pVL-DREZ procedure provided complete pain relief for the patient and avoided the potential complications often encountered with other destructive interventions. pVL-DREZ should be considered among the available options for the treatment of refractory ON.

Cited by 11 publications

References 15 publications

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Long-term outcomes of intradural cervical dorsal root rhizotomy for refractory occipital neuralgia

Occipital Neuralgia

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