Pain medicine case reports最新文献_第2页

Combining Pharmacological Therapy and Ultrasound-Guided Botulinum Toxin Injection Resulted in Clinical Improvement in Bilateral Arterial-Neurogenic Thoracic Outlet Syndrome: A Case Report. 联合药物治疗和超声引导下注射肉毒杆菌毒素对双侧动脉-神经源性胸廓出口综合征的临床改善1例。

Pain medicine case reports Pub Date : 2026-09-01

Andrea Garau, Bruna Denotti, Valentina Garau, Sara Maria Pintus

引用次数: 0

Cervical Medial Branch Radiofrequency Ablation Using Bipolar Multi-Tined Cannulae in a Patient with an Implanted Cervical Spinal Cord Stimulator: A Case Report. 颈椎内侧支射频消融术应用于植入颈脊髓刺激器患者一例。

Pain medicine case reports Pub Date : 2026-09-01

Joel Peltonen, Yehia Kamel

{"title":"Cervical Medial Branch Radiofrequency Ablation Using Bipolar Multi-Tined Cannulae in a Patient with an Implanted Cervical Spinal Cord Stimulator: A Case Report.","authors":"Joel Peltonen, Yehia Kamel","doi":"","DOIUrl":"","url":null,"abstract":"Background: Cervical medial branch radiofrequency ablation (RFA) is an established treatment for chronic cervical facet joint pain. However, RFA procedures generate electromagnetic interference (EMI) that can pose a significant safety risk, potentially leading to spontaneous activation or damage of implanted electronic devices, such as spinal cord stimulators (spinal cord stimulation [SCS]). Previous reports have highlighted the successful use of conventional bipolar RFA, but data are limited regarding large-volume lesioning techniques in patients with SCS implants.Case report: A 70-year-old man, who had a prior C7-T1 fusion and an implanted cervical SCS for refractory radicular pain, presented with axial neck pain. Following confirmation via diagnostic medial branch blocks (MBBs), the patient underwent cervical medial branch RFA using a bipolar multi-tined cannula technique. Strict protocols, including turning off the SCS device and performing neurophysiological monitoring, ensured the procedure was completed safely without complications or device malfunction.Conclusions: This case demonstrates the safe and effective application of bipolar multi-tined RFA, a large-volume lesioning technique, in a patient with a cervical SCS implant. This approach leverages bipolar configuration and minimizes current dispersion, offering clinicians an important alternative to mitigate EMI risks and achieve durable pain relief in this complex patient population.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 7","pages":"591-595"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187484","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

Depending on the Underlying Pathophysiology, Headache in Subarachnoid Hemorrhage May Not Always Respond to Blocking of the Occipital Nerves. 根据潜在的病理生理，蛛网膜下腔出血引起的头痛可能并不总是对枕神经阻滞有反应。

Pain medicine case reports Pub Date : 2026-09-01

Josef Finsterer

引用次数: 0

Successful Treatment of Cervical Dystonia With Temporary Peripheral Nerve Stimulation of the Medial Branch Nerves: A Case Report. 暂时性外周神经内支刺激成功治疗颈肌张力障碍1例。

Pain medicine case reports Pub Date : 2026-09-01

Justin Pratte, Paul Farris, Rachael Aresco, David Gutierrez

引用次数: 0

Peripheral Nerve Stimulator Implant for Superior Cluneal Neuralgia in Patients with Peripheral Neuropathy: A Case Series. 周围神经刺激器植入治疗周围神经病变患者的膝上神经痛：一个病例系列。

Pain medicine case reports Pub Date : 2026-09-01

Akhtar Purvez, Ana Mir, Sama Mir

引用次数: 0

High-Voltage Pulsed Radiofrequency Neuromodulation as Monotherapy for Postherpetic Neuralgia: A Case Report. 高压脉冲射频神经调节作为单一疗法治疗带状疱疹后神经痛：1例报告。

Pain medicine case reports Pub Date : 2026-08-01

Han Li, Honghua Zhang, Zhe Yan, Xuejiao Guo, Jianguo Guo

{"title":"High-Voltage Pulsed Radiofrequency Neuromodulation as Monotherapy for Postherpetic Neuralgia: A Case Report.","authors":"Han Li, Honghua Zhang, Zhe Yan, Xuejiao Guo, Jianguo Guo","doi":"","DOIUrl":"","url":null,"abstract":"Background: Postherpetic neuralgia (PHN) management remains suboptimal, and many patients rely on systemic medications with limited efficacy and tolerability, particularly in older adults. Pulsed radiofrequency (PRF) is used as a neuromodulatory option, but optimal dosing parameters remain uncertain.Case report: A 72-year-old patient with refractory thoracic PHN (Visual Analog Scale [VAS] 8/10, 5-week duration) underwent computed tomography (CT)-guided PRF at the T4-T5 dorsal root ganglia (DRG) using escalated parameters (90 V, 45°C, 20-millisecond pulse width, 10-minute duration). No perineural injectates or pharmacologic adjuvants (e.g., corticosteroids, long-acting local anesthetics, or neurotrophic agents) were used; only a small amount of 1% lidocaine was used for skin infiltration. Immediate pain reduction to VAS 3/10 was achieved, progressing to 1/10 at one month. Gabapentin and lidocaine patches were discontinued after the procedure, with an 85% reduction in dermatomal hypersensitivity. No sensory deficits or complications were observed during follow-up.Conclusions: Our case provides hypothesis-generating evidence that CT-guided, high-parameter PRF (90 V, 45°C, 20 milliseconds, 10 minutes) delivered to the thoracic DRG can be associated with substantial short-term pain relief in subacute PHN without adjunct pharmacotherapy. Given the single-patient, uncontrolled design and one month follow-up, the findings should be interpreted cautiously and require confirmation in prospective studies with longer observation.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 6","pages":"461-465"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877248","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 Trigeminal Neuromodulation for Refractory Facial Pain: A Single-Institution Case Series with Long-Term Follow-up. 经皮三叉神经调节治疗难治性面部疼痛：一个长期随访的单机构病例系列。

Pain medicine case reports Pub Date : 2026-08-01

Guy Dunetz, Christopher Fisher, Naomi Joseph, Jonathan Riley, Assaf Berger

{"title":"Percutaneous Trigeminal Neuromodulation for Refractory Facial Pain: A Single-Institution Case Series with Long-Term Follow-up.","authors":"Guy Dunetz, Christopher Fisher, Naomi Joseph, Jonathan Riley, Assaf Berger","doi":"","DOIUrl":"","url":null,"abstract":"Background: Trigeminal neuralgia (TN) and persistent idiopathic facial pain (PIFP) are chronic facial pain syndromes that can be resistant to conventional medical and surgical treatments. Percutaneous trigeminal nerve and ganglion stimulation has emerged as a promising neuromodulation technique, though long-term safety and durability remain concerns.Case report: We conducted a retrospective review of patients with refractory TN or PIFP who underwent trial or permanent implantation of a trigeminal nerve stimulator between 2018 and 2024 at our institution. Ten of 11 patients underwent trial stimulation, with 9 proceeding to permanent implantation. At the most recent follow up, all but one patient reported significant pain relief. Device- or procedure-related complications occurred in 3 patients: one developed lead prominence with subsequent threatened anchor erosion requiring revision, one developed a postoperative methicillin-resistant staphylococcus aureus wound infection following device removal for urgent magnetic resonance imaging, and one experienced loss of V2 lead efficacy requiring lead explantation. An additional patient underwent elective device removal after long-term complete pain resolution.Conclusions: Percutaneous stimulation of the trigeminal nerve and ganglion appears to be a safe and effective treatment option for patients with refractory facial pain. The low complication rate and consistent pain relief support its use as a long-term management strategy. Prospective studies are needed to further validate these findings and guide patient selection.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 6","pages":"473-480"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877193","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

Unraveling the Mystery of Pain: A Unique Clinical Encounter and Case Report. 揭开疼痛之谜：一个独特的临床遭遇和病例报告。

Pain medicine case reports Pub Date : 2026-08-01

Sharon S Blum, Zvi G Loewy

{"title":"Unraveling the Mystery of Pain: A Unique Clinical Encounter and Case Report.","authors":"Sharon S Blum, Zvi G Loewy","doi":"","DOIUrl":"","url":null,"abstract":"Background: The Clinical Pharmacogenetics Implementation Consortium published an updated guideline for opioids and CYP2D6, OPRM1, and COMT in December 2020. These guidelines include recommendations to avoid key opioids in patients who are ultrarapid or poor metabolizers of CYP2D6 to avoid toxicity and optimize efficacy.Case report: An older woman encountered a letter to the editor in a family magazine regarding genomically based responses to opioids. She reached out for more information and assistance, attesting to continued lack of analgesia to opioids prescribed during occasions of severe pain over the course of many years. A pharmacogenomic analysis proved to be the key to solving her mystery.Conclusion: Pharmacogenomic results may provide life-altering information transforming a patient's perspective on health care. Personalized medicine may be a key component in providing objective evidence for opioid treatment efficacy. There is a critical need for both provider and patient education to increase awareness of pharmacogenomics and how it can be applied to effective pharmacotherapy. Research is needed to explore appropriate, effective educational methods.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 6","pages":"467-471"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877088","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

Sudden Appearance of Metastatic Cancer on Magnetic Resonance Imaging in a Patient with Back Pain. 一个背部疼痛的病人在磁共振成像上突然出现转移性癌症。

Pain medicine case reports Pub Date : 2026-08-01

Min Ju Kim, Myrna Hanna, Moorice Caparo

引用次数: 0

Iatrogenic Femoral Neuropathy Mimicking Meralgia Paresthetica Following Groin Flap Surgery: A Case Report. 腹股沟皮瓣手术后医源性股神经病变致感觉异常痛1例报告。

Pain medicine case reports Pub Date : 2026-08-01

Isra Hasnain, Kashif Manzar

{"title":"Iatrogenic Femoral Neuropathy Mimicking Meralgia Paresthetica Following Groin Flap Surgery: A Case Report.","authors":"Isra Hasnain, Kashif Manzar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Groin flap surgery carries a risk of iatrogenic nerve injury, most commonly involving the lateral femoral cutaneous nerve and presenting as meralgia paresthetica. In contrast, femoral nerve injury is rare and typically associated with motor deficits. Pure sensory femoral neuropathy is exceptionally uncommon and may closely mimic meralgia paresthetica, creating a diagnostic challenge.Case report: We report a 24-year-old man who developed severe neuropathic pain over the anterolateral thigh following groin flap donor-site closure. Initial clinical suspicion was meralgia paresthetica. However, motor examination and electrodiagnostic studies were normal. High-resolution ultrasound revealed femoral nerve displacement and edema, and ultrasound-guided transcutaneous nerve stimulation reproduced the patient's symptoms, confirming a diagnosis of pure sensory iatrogenic femoral neuropathy. The patient was successfully treated with ultrasound-guided femoral nerve hydrodissection, resulting in sustained pain relief at the 6-month follow-up visit.Conclusions: Pure sensory femoral neuropathy can mimic meralgia paresthetica after groin surgery. High-resolution ultrasound is critical for accurate diagnosis, and ultrasound-guided hydrodissection may be an effective therapeutic option when conservative management fails, though further studies are needed.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 6","pages":"521-524"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877214","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