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Radiofrequency Probe Guidance in Peripheral Nerve Stimulator Placement for Complex Anatomy: A Case Report. 射频探针引导周围神经刺激器植入复杂解剖：1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Komal Luthra, Ankur Jain, Yousef Darwish, Pranamya Suri, Akhil Chhatre
{"title":"Radiofrequency Probe Guidance in Peripheral Nerve Stimulator Placement for Complex Anatomy: A Case Report.","authors":"Komal Luthra, Ankur Jain, Yousef Darwish, Pranamya Suri, Akhil Chhatre","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Peripheral nerve stimulation (PNS) has been recognized for its efficacy in treating various pain conditions. However, its application in anatomically unique patients, especially those with achondroplasia, is not well established.</p><p><strong>Case report: </strong>We describe a 30-year-old woman with achondroplasia suffering from neuropathic pain after total knee arthroplasty. Due to inadequate pain control from standard pharmacotherapy, she underwent PNS. Sensory stimulation was performed utilizing a radiofrequency ablation (RFA) probe to precisely locate the target sensory nerve. Once the correct sensory nerve was identified, the trajectory of the lead placement was adapted to the patient's anatomical features. The modified PNS implantation technique using RFA probe guidance resulted in substantial pain relief, reduction of opioid consumption, and no procedural complications.</p><p><strong>Conclusions: </strong>The positive outcomes observed in this case underscore the potential for this innovative approach to be considered for use in those with variable anatomical challenges.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052827","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
A Common Complaint With an Uncommon Etiology: A Case Report of Back Pain Caused by Paravertebral Compartment Syndrome. 一个常见的抱怨与一个不常见的病因：一个病例报告由椎旁腔室综合征引起的背部疼痛。
Pain medicine case reports Pub Date : 2025-02-01
Eric Xu, Alex Kervyn, Noah VanWingerden, Ernesto Cruz
{"title":"A Common Complaint With an Uncommon Etiology: A Case Report of Back Pain Caused by Paravertebral Compartment Syndrome.","authors":"Eric Xu, Alex Kervyn, Noah VanWingerden, Ernesto Cruz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Patients presenting with acute low back pain (LBP) require prompt evaluation, diagnosis, and management to prevent permanent complications. Up to 10% to 15% of patients with LBP have been shown to display neurologic deficits that could lead to downstream complications, such as lower extremity paralysis, numbness, and neurogenic bowel and bladder.</p><p><strong>Case report: </strong>The authors present a 44-year-old man who arrived at our emergency room after a drug overdose. He endorsed severe left-sided back pain, a heavy sensation in his bilateral lower extremities, and complete loss of motor and sensory ability from the waist down. Imaging of his thoracic and lumbar spine revealed diffuse edema and expansion of the left paraspinal muscles with postcontrast enhancement, concerning for acute compartment syndrome.</p><p><strong>Conclusions: </strong>Compartment syndrome of the paraspinal muscles is an extremely rare condition. However, paravertebral compartment syndrome must remain on the differential for practitioners who are presented with acute back pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060564","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
Epidural Hematoma After Parasagittal Interlaminar Cervical Epidural Steroid Injection: A Case Report. 矢状旁椎板间注射硬膜外类固醇后硬膜外血肿1例。
Pain medicine case reports Pub Date : 2025-02-01
Masoud Hashemi, Sina Hassannasab, Sogol Asgari, Narges Bazgir
{"title":"Epidural Hematoma After Parasagittal Interlaminar Cervical Epidural Steroid Injection: A Case Report.","authors":"Masoud Hashemi, Sina Hassannasab, Sogol Asgari, Narges Bazgir","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cervical radiculopathy and radiculitis cause neck pain and conservative treatments are the first step. A cervical epidural steroid injection (CESI) can help if other treatments fail, but it could have side effects and serious complications. This case report describes a rare complication (epidural hematoma) of parasagittal interlaminar CESI (PCESI).</p><p><strong>Case report: </strong>A 62-year-old woman, candidate for the right PCESI, complained of unrelieved pain in the injection site after the procedure. Due to a decrease in movement, sensation, and muscle force, epidural hematoma was suspected. She was transferred to the hospital. In magnetic resonance imaging, a hematoma was evident. After 72 hours under surveillance, the hematoma was absorbed, and she fully recovered.</p><p><strong>Conclusions: </strong>Epidural hematoma is an infrequent complication of CESI. This report may be an alarm to consider this complication, specific to this technique, which may be due to vascular anatomy.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016232","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
Differentiating Chronic Neuropathic Rib Pain: A Case Report. 鉴别慢性神经性肋痛1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Emily Andrews, Anna Klunk, Alberto Giardini
{"title":"Differentiating Chronic Neuropathic Rib Pain: A Case Report.","authors":"Emily Andrews, Anna Klunk, Alberto Giardini","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Rib cage pain can be challenging to diagnose due to a wide variety of etiologies in the area. Intercostal neuromas are a potential source of pain in the thoracic region. In the setting of blunt intercostal trauma, intercostal neuromas should be higher on the differential.</p><p><strong>Case report: </strong>We describe the case of a 69-year-old man with severe thoracic pain for 10 years due to intercostal neuroma who had extensive medical workup over the course of 10 years prior to the diagnosis causing his chronic pain. He received definitive treatment with surgical resection of his intercostal neuroma.</p><p><strong>Conclusions: </strong>This article highlights the need to consider neuroma formation in the setting of blunt trauma and the benefits of diagnosis provided by musculoskeletal ultrasound.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048432","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
Efficacy of Botulinum Toxin Injection via Coronoid Approach in Refractory Trigeminal Neuralgia: A Case Report and Literature Review. 冠状入路肉毒毒素注射治疗难治性三叉神经痛1例并文献复习。
Pain medicine case reports Pub Date : 2025-02-01
Mahmoud Reza Alebouyeh, Saeid Reza Entezary, Sajede Salehi, Sara Saadat
{"title":"Efficacy of Botulinum Toxin Injection via Coronoid Approach in Refractory Trigeminal Neuralgia: A Case Report and Literature Review.","authors":"Mahmoud Reza Alebouyeh, Saeid Reza Entezary, Sajede Salehi, Sara Saadat","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Trigeminal neuralgia (TN) is a well-characterized form of cranial neuralgia that affects one or more divisions of the trigeminal nerve. The first-line treatment for TN is pharmacotherapy, though over 40% of patients may become refractory to medication or experience intolerable side effects. A Gasserian ganglion block is a minimally invasive procedure aimed at alleviating TN symptoms and reducing the reliance on pharmacotherapy.</p><p><strong>Case report: </strong>We present a case of TN that was refractory to 2 times Gasserian ganglion block. While botulinum toxin has been effectively used in various nerve blocks, we opted to manage the patient's TN by targeting the peripheral mandibular nerve (V3) via a coronoid approach by using botulinum toxin injection.</p><p><strong>Conclusions: </strong>Our patient experienced 5 months' considerable pain relief, which demonstrates that the V3 injection of botulinum toxin may offer a viable alternative for managing refractory TN.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"81-84"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049319","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
Case Report: The Successful Use of Hydroxyzine for Analgesia in a Patient With Lumbar Spinal Stenosis. 病例报告：羟嗪成功用于腰椎管狭窄症患者的镇痛。
Pain medicine case reports Pub Date : 2025-02-01
Manish Bhatta, Eli Dayon, Eric Martinez, Emilee Bell, Moorice Caparo
{"title":"Case Report: The Successful Use of Hydroxyzine for Analgesia in a Patient With Lumbar Spinal Stenosis.","authors":"Manish Bhatta, Eli Dayon, Eric Martinez, Emilee Bell, Moorice Caparo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Lumbar spinal stenosis is a chronic condition associated with low back pain that is usually alleviated with traditional pain medications, spinal injections, or surgery. Antihistamines are a drug class that are not usually used for analgesia.</p><p><strong>Case report: </strong>We present the case of a 51-year-old woman who presented with low back pain radiating down the right lower extremity. Magnetic resonance imaging of the lumbar spine revealed multilevel degenerative changes, including bilateral foraminal narrowing at L5-S1. Despite conservative treatments, her pain persisted. A trial of 10 mg hydroxyzine 3 times daily led to a 50% reduction in reported pain.</p><p><strong>Discussion: </strong>Hydroxyzine is an H1 inverse agonist not commonly used for analgesia. Potential mechanisms include antagonizing H1 receptors on lumbar nerve roots and interaction with neural cytokines.</p><p><strong>Conclusions: </strong>Improvement after the use of antihistamines for lumbar stenosis pain is rare and leads to consideration of its use as a treatment option.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004079","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
Temporary Peripheral Nerve Stimulation for Complex Regional Pain Syndrome Type I in the Upper Extremity: A Case Report. 暂时性外周神经刺激治疗上肢I型复杂区域性疼痛综合征1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Newshaw Arvin, Andrew Barker, Blake Fechtel, Matthew Cutrer, Yashar Eshraghi
{"title":"Temporary Peripheral Nerve Stimulation for Complex Regional Pain Syndrome Type I in the Upper Extremity: A Case Report.","authors":"Newshaw Arvin, Andrew Barker, Blake Fechtel, Matthew Cutrer, Yashar Eshraghi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Complex regional pain syndrome (CRPS) presents a significant treatment challenge, characterized by severe pain following trauma or surgery. This study examines CRPS management, emphasizing the role of temporary peripheral nerve stimulation (PNS) in alleviating subacute postoperative symptoms.</p><p><strong>Case report: </strong>Focusing on a case study of a 65-year-old woman with CRPS Type I, we explore the use of a temporary PNS system, highlighting its effectiveness in reducing pain by 80% and facilitating rehabilitation. The procedure involved ultrasound-guided percutaneous lead placement, showcasing a minimally invasive approach with substantial functional improvements for the patient.</p><p><strong>Conclusions: </strong>This case underscores the potential of temporary PNS in CRPS treatment in the subacute setting, advocating for further research to validate its efficacy and expand its application in clinical practice. The manuscript calls for additional studies to explore the benefits of temporary PNS, aiming to enhance pain management strategies and improve quality of life for CRPS patients.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052828","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
Analgesic and Curative Effects of 35kDa Hyaluronan Fragment on Zoster-Associated Pain: A Case Report of Two Patients. 35kDa透明质酸片段对带状疱疹相关疼痛的镇痛和疗效：附2例报告。
Pain medicine case reports Pub Date : 2025-02-01
Fenghe Xu, Dylan Treger, Xiaoxiao Jia, Mizhou Hui, Zhaohui Ma
{"title":"Analgesic and Curative Effects of 35kDa Hyaluronan Fragment on Zoster-Associated Pain: A Case Report of Two Patients.","authors":"Fenghe Xu, Dylan Treger, Xiaoxiao Jia, Mizhou Hui, Zhaohui Ma","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Herpes zoster-associated pain (ZAP) is a challenging neuropathic condition. Clinical reports suggest that a 35kDa hyaluronan fragment (HA35) may effectively relieve this pain with a single local injection. However, evidence of a complete cure is limited.</p><p><strong>Case report: </strong>Two patients were treated-one with acute shingles pain diagnosed 10 days prior, and one with postherpetic neuralgia (PHN) diagnosed a year ago. Pain scores before treatment were 7 for Patient 1, and 4 (average) and 8 (most severe) for Patient 2. Clinicians administered varying doses of HA35 based on pain level and disease duration. Both patients reported significantly reduced Visual Analog Scale pain scores and notable improvements in mental state, appetite, and sleep quality.</p><p><strong>Conclusions: </strong>HA35 not only safely and effectively alleviates and cures ZAP, including acute pain and PHN, without causing side effects, but also improves related issues, such as appetite, sleep, and daily interactions affected by pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055794","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
Pain Relief in Mitochondrial Disorders: Use of Spinal Cord Stimulation in a Patient With NARP Syndrome. 线粒体疾病的疼痛缓解：在NARP综合征患者中使用脊髓刺激
Pain medicine case reports Pub Date : 2025-02-01
Augusta L Kiepper, Timothy Morgan, Christopher J Mallard
{"title":"Pain Relief in Mitochondrial Disorders: Use of Spinal Cord Stimulation in a Patient With NARP Syndrome.","authors":"Augusta L Kiepper, Timothy Morgan, Christopher J Mallard","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Neuropathy, ataxia, retinitis pigmentosa (NARP) syndrome is a mitochondrial disorder of the ATPase 6 gene. There is a wide variation of symptoms, but damage to the neuronal structures can result in chronic pain.</p><p><strong>Case report: </strong>A 31-year-old woman's chronic back and lower extremity pain related to NARP syndrome was successfully treated with dorsal column spinal cord stimulation (SCS).</p><p><strong>Conclusions: </strong>SCS can be used as a means of pain management in patients with genetic etiologies. This case provides an example of treating symptoms related to genetic defects with simulation improving quality of life.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048004","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
Subarachnoid Hemorrhage Following Cervical Medial Branch Radiofrequency Ablation: A Case Report. 颈内支射频消融术后蛛网膜下腔出血1例。
Pain medicine case reports Pub Date : 2025-02-01
Joel Peltonen, Timothy Bolton
{"title":"Subarachnoid Hemorrhage Following Cervical Medial Branch Radiofrequency Ablation: A Case Report.","authors":"Joel Peltonen, Timothy Bolton","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Facet-mediated neck pain following motor vehicle collision is a common component of whiplash-associated disorder. Facet-mediated neck pain is suspected based on a combination of history, physical examination, and imaging findings. Third occipital nerve (TON) and cervical medial branch radiofrequency ablation (RFA) are effective and safe approaches to facet-mediated pain. Serious complications are rare but can include nerve root, spinal cord, and vascular injury.</p><p><strong>Case report: </strong>This report describes a case of subarachnoid hemorrhage (SAH) that occurred within 24 hours following TON and cervical medial branch RFA. The patient was admitted for symptom management, blood pressure control, and follow-up imaging. His hemorrhage stabilized, and he returned home without residual deficits after 12 days.</p><p><strong>Conclusions: </strong>This case serves as an example of how prolonged nausea, headache, and ataxia can be indicators of SAH, following TON and cervical medial branch RFA.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036113","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
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