Pain Medicine Case Reports最新文献_第2页

Bilateral Sphenopalatine Ganglion Blocks for Refractory Burning Mouth Syndrome 双侧蝶腭神经节阻滞治疗难治性灼口综合征

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.277

Jameson Dowell, BS, Trent Weatherly, BS, Lorenzo Sabido, MD, Imad Riazuddin, MD, Elliot Blankespoor, MD, Ahmed Haque, MD, Michael Medina, MD

引用次数: 0

Dexmedetomidine for Transforaminal Epidural Injection for Lumbosacral Radicular Pain in Diabetes Mellitus Patients: A Case Series 右美托咪定经椎间孔硬膜外注射治疗糖尿病腰骶神经根性疼痛:一个病例系列

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.241

Sarfaraz Ahmad, MD, Ajeet Kumar, MD, Kunal Singh, MD, Shagufla Naaz, MD

引用次数: 0

Cerebrospinal Fluid Leak Following Explantation of Percutaneous Spinal Cord Stimulator Device: A Case Report 经皮脊髓刺激器取出后脑脊液漏1例报告

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.255

Ryan Huy Nguyen, MD, Andrew Nguyen, MD, Talin Evazyan, MD

{"title":"Cerebrospinal Fluid Leak Following Explantation of Percutaneous Spinal Cord Stimulator Device: A Case Report","authors":"Ryan Huy Nguyen, MD, Andrew Nguyen, MD, Talin Evazyan, MD","doi":"10.36076/pmcr.2022.6.255","DOIUrl":"https://doi.org/10.36076/pmcr.2022.6.255","url":null,"abstract":"BACKGROUND: While spinal cord stimulation (SCS) is a safe and effective treatment for chronic pain, some patients require explantation of their devices due to complications or inadequate pain control. The rate of SCS implantation has steadily increased over the years; however, the complications of percutaneous lead extraction have not been well-documented in the scientific literature. CASE REPORT: We present an 86-year-old patient at our institution who developed an intraoperative cerebrospinal fluid (CSF) leak during SCS explantation. The leak was conservatively managed with tight surgical closure and placement of an abdominal binder. The patient tolerated the procedure well and only developed a minor headache which self-resolved. CONCLUSION: Although rare, SCS lead extraction can cause CSF leakage from unintentional intraoperative dural tear. While most CSF leaks can be managed conservatively and do not require surgical repair, pain physicians need to be well-informed on how to manage CSF leaks that occur during SCS explantation. KEY WORDS: Case report, cerebrospinal fluid leak, chronic pain, explantation, spinal cord stimulation","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126354032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

1. Treatment of Complex Regional Pain Syndrome of the Knee With Peripheral Nerve Stimulation After Failed Dorsal Root Ganglion Stimulation 1. 背根神经节刺激失败后外周神经刺激治疗膝关节复杂局部疼痛综合征

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.261

Stephen Music, DO, Tolga Suvar, MD

{"title":"1. Treatment of Complex Regional Pain Syndrome of the Knee With Peripheral Nerve Stimulation After Failed Dorsal Root Ganglion Stimulation","authors":"Stephen Music, DO, Tolga Suvar, MD","doi":"10.36076/pmcr.2022.6.261","DOIUrl":"https://doi.org/10.36076/pmcr.2022.6.261","url":null,"abstract":"BACKGROUND: Complex regional pain syndrome (CRPS) is a chronic progressive neuropathic condition that generally presents following trauma, surgical procedures, or develop spontaneously. Clinical recommendations are to pursue early, multifactorial treatment modalities, such as physical therapy, psychotherapy, along with medications. If conservative treatment becomes insufficient, interventional treatments, such as dorsal root ganglion (DRG) stimulation and peripheral nerve stimulation (PNS), have been proven effective measures in treating the condition. CASE REPORT: A 44-year-old woman, who underwent multiple knee surgeries originally for osteoarthritis, developed CRPS Type II around her right knee. A L3/L4 DRG stimulator was implanted after conservative treatment failed. She reported 50% improvement and reduced opioid requirement. Symptoms returned due to a L3 DRG lead fracture with an attempted revision. However, postsurgical complications developed: neuroforaminal scarring, which precluded lead replacement and resulted in explantation. A PNS implant was pursued with reported 75% to 80% symptom relief, titration off all medications, and significant return of function. CONCLUSIONS: This case highlights PNS in treating advanced CRPS either as the initial neurostimulator of choice in select populations or as an effective alternative in the event that DRG stimulation or spinal cord stimulation proves ineffective or unfeasible. Here, our patient illustrated favorable results with PNS vs DRG in her CRPS management allowing her to regain her ability to function independently of constant pain and opioids. KEY WORDS: Complex regional pain syndrome, dorsal root ganglion stimulation, peripheral nerve stimulation, case report","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134085600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Rare Calcified Complication of Epidural Injections for Lumbar Spinal Stenosis: A Case Presentation and Literature Review 硬膜外注射治疗腰椎管狭窄症的罕见钙化并发症:1例报告及文献复习

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.271

Carl-Elie Majdalani, MD, Christopher Mares, MD, Daniel Shedid, MD, Sung-Joo Yuh, MD

{"title":"A Rare Calcified Complication of Epidural Injections for Lumbar Spinal Stenosis: A Case Presentation and Literature Review","authors":"Carl-Elie Majdalani, MD, Christopher Mares, MD, Daniel Shedid, MD, Sung-Joo Yuh, MD","doi":"10.36076/pmcr.2022.6.271","DOIUrl":"https://doi.org/10.36076/pmcr.2022.6.271","url":null,"abstract":"BACKGROUND: Neurogenic claudication secondary to degenerative lumbar stenosis is typically managed with nonsurgical options, such as epidural corticosteroid injections. As a standard and effective treatment for lumbar stenosis, clinicians must be aware of the corticosteroids choice when injecting in the epidural space. CASE REPORT: A 62-year-old man presenting with sciatic pain is treated with multiple neuroforaminal, facet, and caudal corticoid injections over the course of several months without any symptomatic resolution. A magnetic resonance imaging of his lumbar spine revealed focal bilateral central stenosis at the L4-L5 level. A computed tomography revealed hyperdense lesions at that level. The patient was referred for a surgical option. He underwent complete minimally invasive resection of the bilateral lesion with instrumented and interbody fusion. The final pathology report identified the mass as a calcified granuloma. CONCLUSIONS: Following repetitive methylprednisolone acetate injections, one must be aware of all the potential complications arising from particulate corticosteroids. KEY WORDS: Spinal stenosis, epidural injections, granulomas, corticosteroids","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128132768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous Peripheral Radiofrequency Ablation of Mandibular Nerve: Case Series of Seven Patients 经皮外周射频消融术治疗下颌神经:附7例病例分析

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.285

Heena Garg, MD, Jay Prakash Thakur, MD, Jyotsna Punj, MD

引用次数: 0

The Role of Caudal Epidural Steroid Injections in Diabetic Lumbosacral Radiculoplexus Neuropathy: A Case Report 尾侧硬膜外类固醇注射治疗糖尿病腰骶神经根丛神经病1例

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.267

Joseph Roys, MD, Marissa Catalanatto, MD, Christian Vangeison, DO, Emanuel Husu, MD

引用次数: 0

Prolonged Dorsal Root Ganglion (DRG) Trial Adequately Treats Neuropathic Pain Due to Malignant Invasion of the Lumbosacral Plexus: A Case Report 延长背根神经节(DRG)试验充分治疗腰骶神经丛恶性侵犯所致的神经性疼痛:1例报告

Pain Medicine Case Reports Pub Date : 2022-11-30 DOI: 10.36076/pmcr.2022.6.245

Harman Chopra, MD, Alexander Shustorovich, DO, Seth Katzen, DO, Joel Castellanos, MD

{"title":"Prolonged Dorsal Root Ganglion (DRG) Trial Adequately Treats Neuropathic Pain Due to Malignant Invasion of the Lumbosacral Plexus: A Case Report","authors":"Harman Chopra, MD, Alexander Shustorovich, DO, Seth Katzen, DO, Joel Castellanos, MD","doi":"10.36076/pmcr.2022.6.245","DOIUrl":"https://doi.org/10.36076/pmcr.2022.6.245","url":null,"abstract":"BACKGROUND: Pain control remains a challenge for patients suffering from acute malignancy-induced pain. Dorsal root ganglion (DRG) stimulation, normally indicated for chronic pain syndromes, may be an effective tool against neuropathic pain in the setting of tumor invasion. CASE REPORT: A 63-year-old woman with a past medical history significant for stage 1A endometrial adenocarcinoma status post robotic total hysterectomy and a recently diagnosed presacral mass (high-grade undifferentiated squamous carcinoma) presented for neurosurgical evaluation due to subacute onset of urinary retention, constipation, weight loss, and left lower-extremity pain associated with dysesthesia and impaired gait. Magnetic resonance imaging demonstrated direct invasion of the inferior sacrum and moderate spinal canal stenosis. After a multimodal regimen failed, the inpatient pain service was consulted for consideration of advanced modalities. Since the patient experienced relief from an epidural steroid injection (ESI), the team placed DRG trial leads proximal to the sacral mass at the left L5 and S1 DRGs. The patient had an immediate postoperative pain reduction of 75% to 90%. The primary team and family elected for a prolonged trial (> 7 days) as the patient’s neuropathic pain was significantly improved until the patient expired 22 days post placement. CONCLUSION: To the best of our knowledge, this is the first DRG trial used to treat refractory, acute cancer-related pain. KEY WORDS: Acute pain, cancer, case report, dorsal root ganglion stimulator, DRG trial, lumbosacral plexus, malignancy pain, neuromodulation, neuropathy, pain","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116472123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kümmell’s Disease: An Interventional Pain Approach k<s:1>梅尔病:介入性疼痛方法

Pain Medicine Case Reports Pub Date : 2022-01-31 DOI: 10.36076/pmcr.2022.6.25

Ryan Barrera, Krishna Shah

引用次数: 0

Subthreshold Peripheral Nerve Stimulation with a High Frequency Electro-Magnetic Couple Powered Implanted Receiver for the Treatment of Chronic Shoulder Pain 高频电磁偶驱动植入接收器刺激阈下周围神经治疗慢性肩痛

Pain Medicine Case Reports Pub Date : 2022-01-31 DOI: 10.36076/pmcr.2022.6.9

R. Ycaza, Niek Vanquathem

{"title":"Subthreshold Peripheral Nerve Stimulation with a High Frequency Electro-Magnetic Couple Powered Implanted Receiver for the Treatment of Chronic Shoulder Pain","authors":"R. Ycaza, Niek Vanquathem","doi":"10.36076/pmcr.2022.6.9","DOIUrl":"https://doi.org/10.36076/pmcr.2022.6.9","url":null,"abstract":"BACKGROUND: Shoulder pain has an estimated population prevalence of up to 26%. The most common source of shoulder pain is the rotator cuff, which is a group of muscles and tendons that surround the shoulder joint, accounting for over two-thirds of cases. CASE REPORT: A 65-year-old man presented with sharp, localized pain on abduction of the left shoulder due to a left rotator cuff tear. A diagnostic nerve block provided 100% short-term pain relief. Subsequently a peripheral nerve stimulator trial was offered to the patient, which was successful. The permanent peripheral nerve stimulator was implanted at the supraspinous fossa with the middle electrodes at the suprascapular notch. A receiver was inserted into the inner lumen of electrode array and the neurostimulator was coiled and fixated to the fascia. The following stimulation settings were used: frequency at 1.5 kHz, pulse width at 30 µs, and amplitude of 3.5 mA. CONCLUSION: At one year after implant, the patient had close to 100% pain relief and reported excellent mobility of the shoulder. Wirelessly powered peripheral nerve simulation was a successful option for this patient suffering from debilitating left shoulder pain due to a left rotator cuff tear. KEY WORDS: Chronic shoulder pain, glenohumeral osteoarthritis, peripheral nerve stimulator, suprascapular neuralgia","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124920764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0