Pain medicine case reports最新文献_第8页

Case Report on Chronic Shoulder Pain and Response to Peripheral Nerve Stimulation Twenty-Four Months After Placement. 放置后24个月慢性肩痛及周围神经刺激反应的病例报告。

Pain medicine case reports Pub Date : 2024-05-01

Lucendia Adams, Raheleh Rahimi Darabad

引用次数: 0

Acute Guillain-Barré Syndrome After Sacroiliac Joint Fusion. 骶髂关节融合术后急性格林-巴勒综合征。

Pain medicine case reports Pub Date : 2024-05-01

Aaran Varatharajan, Stephen Music, Matthew Jaycox

{"title":"Acute Guillain-Barré Syndrome After Sacroiliac Joint Fusion.","authors":"Aaran Varatharajan, Stephen Music, Matthew Jaycox","doi":"","DOIUrl":"","url":null,"abstract":"Background: Guillain-Barré syndrome (GBS), also called acute inflammatory demyelinating polyradiculopathy (AIDP), is one of the most common causes of acute, acquired weaknesses. GBS is an acute immune-mediated polyneuropathy that presents with progressive weakness of the arms or legs. GBS presents after infection; however, there are few reports that describe acute GBS after chronic pain procedures.Case report: A 70-year-old man with a past medical history of spinal stenosis status post anterior cervical discectomy and fusion, sacroiliac joint (SIJ) dysfunction status post SIJ fusion presented with imbalance, weakness, and difficulty walking. The patient underwent SIJ fusion one week prior; his weakness progressively worsened, requiring a walker. He underwent a series of labs and diagnostic tests, which were consistent with AIDP/GBS. He was placed on respiratory and cardiac monitoring and started on intravenous immunoglobulin treatment. He started developing bilateral facial palsies and started on plasmapheresis. His symptoms have improved and he was discharged from our inpatient rehab facility on after 28 days.Conclusions: This case report aims to highlight a rare, but potentially dangerous, complication of AIDP/GBS following an SIJ fusion.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 4","pages":"137-142"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546779","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

Spinal Cord Stimulation and Intrathecal Drug Delivery System Therapy in a Pregnant Patient with Complex Regional Pain Syndrome Type II: A Case Report. 脊髓刺激和鞘内给药系统治疗妊娠II型复杂局部疼痛综合征1例。

Pain medicine case reports Pub Date : 2024-04-01

Michael Glicksman, Anishinder Parkash, Suresh Srinivasan, Michael E Farrell Ii, Gaurav Chauhan

引用次数: 0

Severe Bilateral Glossopharyngeal Neuralgia Managed With Nerve Blocks Following Plasmodium falciparum Malaria Infection Treated With Mefloquine. 甲氟喹治疗恶性疟原虫感染后神经阻滞治疗严重双侧舌咽神经痛。

Pain medicine case reports Pub Date : 2024-04-01

Stephen Music, Tolga Suvar, Matthew Tan, Sandeep Amin

{"title":"Severe Bilateral Glossopharyngeal Neuralgia Managed With Nerve Blocks Following Plasmodium falciparum Malaria Infection Treated With Mefloquine.","authors":"Stephen Music, Tolga Suvar, Matthew Tan, Sandeep Amin","doi":"","DOIUrl":"","url":null,"abstract":"Background: The Internal Classification of Headache Disorders diagnosis for glossopharyngeal neuralgia (GN) includes recurrent paroxysmal severely painful attacks in the glossopharyngeal nerve distribution. Precipitating factors may be swallowing or talking, and diagnosis is made by exclusion. Conservative management includes medications, such as carbamazepine. For refractory cases, interventional nerve blocks may be required.Case report: A 38-year-old woman experienced severe bilateral GN and occipital neuralgia with atypical migraines after treatment with mefloquine for severe Plasmodium falciparum malaria. Symptoms included the inability to perform activities of daily living (ADLs) due to severe \"electric sharp stabbing pain.\" Following ineffective conservative management, she was successfully treated with a series of nerve blocks every 3 months. Over time, with repeated interventions, she acquired a significantly lower baseline of pain enabling her to participate in ADLs.Conclusions: This case report highlights nerve blocks as a viable treatment option for refractory bilateral GN following treatment with mefloquine.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"119-126"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546775","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

Effective Management of Recurrent Trauma-Induced Neck Pain With Radiofrequency Neurotomy Using the Nimbus Electrosurgical Radiofrequency Multitined Expandable Electrode: A Case Report. 使用Nimbus电外科射频多重可扩展电极射频神经切开术有效治疗复发性外伤性颈部疼痛1例报告。

Pain medicine case reports Pub Date : 2024-04-01

Bradley D Vilims, Jon E Block

{"title":"Effective Management of Recurrent Trauma-Induced Neck Pain With Radiofrequency Neurotomy Using the Nimbus Electrosurgical Radiofrequency Multitined Expandable Electrode: A Case Report.","authors":"Bradley D Vilims, Jon E Block","doi":"","DOIUrl":"","url":null,"abstract":"Background: Radiofrequency neurotomy (RFN) can be an effective treatment for patients with chronic neck pain and cervicogenic headaches resistant to conservative care. However, the degree and duration of pain relief after RFN is dependent upon the thoroughness of target nerve coagulation.Case report: This is a case of a 37-year-old patient with debilitating neck pain and headaches following a motor vehicle accident. Successful local anesthetic block of the third occipital nerve (TON) confirmed pain of C2-C3 facet joint origin. An initial RFN treatment of the TON, using standard 18G electrodes in bipolar mode, resulted in complete symptom amelioration for 8 months. Repeat RFN, using the same electrode configuration, was unsuccessful in alleviating the severe neck pain and headaches, and produced no demonstrable sensory loss in the distribution of the TON. RFN was then performed using the Nimbus® electrosurgical RF multitined expandable electrode, which provides a larger zone of coagulation in volume than standard RFN electrodes even when used in bipolar configuration.Conclusions: The Nimbus procedure resulted in successful coagulation of the TON with sensory loss in the TON distribution and reinstatement of palliative relief.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546769","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

Phantom Limb Pain Improvement Post Right Lower Extremity Amputation With a Liner-type Prosthesis and Pharmacotherapy Combination: A Case Report. 右下肢截肢后幻肢疼痛改善内衬式假体与药物治疗联合1例报告。

Pain medicine case reports Pub Date : 2024-04-01

Takayoshi Tsubaki, Maiko Kodama, Yuuhei Taketou, Kaoru Shimizu, Serina Hani, Chika Hamada, Chihaya Takano, Yukari Tachiuchi, Yasuo Hirono

{"title":"Phantom Limb Pain Improvement Post Right Lower Extremity Amputation With a Liner-type Prosthesis and Pharmacotherapy Combination: A Case Report.","authors":"Takayoshi Tsubaki, Maiko Kodama, Yuuhei Taketou, Kaoru Shimizu, Serina Hani, Chika Hamada, Chihaya Takano, Yukari Tachiuchi, Yasuo Hirono","doi":"","DOIUrl":"","url":null,"abstract":"Background: Phantom limb pain is pain in a missing limb postamputation. There is no sufficient evidence for an effective drug therapy, even though various treatment methods have been tried. Apart from drug therapy, mirror therapy, proprioceptive training, and virtual reality, as well as rehabilitation with appropriate orthotics have been tried. Liner-type prostheses use a silicone liner to reduce shear forces between the skin and the orthosis and to maintain suspension function, thereby relieving pain and improving comfort and functionality for the user.Case report: A 65-year-old man underwent amputation of his right thigh. On the 10th postoperative day, he complained of phantom limb pain centered on the amputation site. Pregabalin was started but did not alleviate his symptoms. After consultation with a physical therapist, the patient began using a liner prosthesis on the 33rd postoperative day. Symptoms gradually lessened, and positive comments were heard from the patient. Pregabalin and duloxetine were administered for a time but were soon reduced. Due to good pain control, the patient was discharged on the 46th postoperative day. After discharge from the hospital, the patient was able to continue treatment as an outpatient without his symptoms worsening, using a liner prosthesis as needed.Conclusion: Right thigh amputation is a very physically and emotionally taxing operation for the patient. Phantom limb pain is a difficult symptom to manage, but it must be adequately controlled for the patient. We have achieved phantom limb pain improvement with a combination of pharmacotherapy and a liner prosthesis. We feel a great need for close collaboration with other professions and for a nonpharmacologic approach in addition to pharmacotherapy.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"109-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546773","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

Erector Spinae Plane Blocks with Dexmedetomidine and Dexamethasone for the Treatment of Pain Associated with Rib Fractures: Case Report. 右美托咪定和地塞米松联合应用竖立者脊柱平面阻滞治疗肋骨骨折相关疼痛：病例报告

Pain medicine case reports Pub Date : 2024-04-01

Sagar Patel, Courtney Tran, Sarah Stevens, Carly Liquori, Jonathan Eskander

引用次数: 0

Temporary Peripheral Nerve Stimulation for the Treatment of Greater Occipital Neuralgia. 临时外周神经刺激治疗枕大神经痛。

Pain medicine case reports Pub Date : 2024-04-01

Royce Copeland, Angela Nwankwo, Emanuel Narcis Husu

{"title":"Temporary Peripheral Nerve Stimulation for the Treatment of Greater Occipital Neuralgia.","authors":"Royce Copeland, Angela Nwankwo, Emanuel Narcis Husu","doi":"","DOIUrl":"","url":null,"abstract":"Background: Greater occipital neuralgia (GON), a cause of chronic headaches, can be debilitating and vastly affect one's quality of life. Recent strides in comprehending the pathophysiology of GON and the ongoing evolution of approaches to the condition's treatment have led to the pursuit of more effective interventions. Among these, temporary peripheral nerve stimulation (PNS) devices have surfaced as an avenue for management, presenting a minimally invasive yet highly efficient alternative in treating other chronic pain conditions. This study discusses a case of GON successfully managed with temporary (60-day) PNS.Case report: A 35-year-old man presented with a nearly 8-month history of intractable headaches without any inciting event along the left greater occipital nerve distribution. The patient underwent a series of 2 diagnostic GON blocks and experienced 90% pain relief. A 60-day PNS device was implanted to treat the patient's left-side GON, and during the 6-month period, the patient received 75% pain with no complications.Conclusions: Temporary PNS is a promising treatment for painful mononeuropathies. Most PNS devices are implanted permanently to provide benefits, but this new development allows temporary stimulation devices to manage chronic pain. This case demonstrates another potential therapeutic option for pain management providers to alleviate pain in patients suffering from GON.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"115-118"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546777","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

Unveiling the Uncommon: Intradural Extramedullary Cord Lipoma Inducing Chest Wall Pain in a Middle-Aged Female Patient-A Case Report. 揭示不寻常：硬膜内髓外脊髓脂肪瘤引起中年女性胸壁疼痛1例报告。

Pain medicine case reports Pub Date : 2024-04-01

Edith B Martinez-Lozano, Moorice Caparo

{"title":"Unveiling the Uncommon: Intradural Extramedullary Cord Lipoma Inducing Chest Wall Pain in a Middle-Aged Female Patient-A Case Report.","authors":"Edith B Martinez-Lozano, Moorice Caparo","doi":"","DOIUrl":"","url":null,"abstract":"Background: Intradural extramedullary lipomas are rare spinal cord tumors that remain asymptomatic until compression of the spinal cord results in neurological symptoms. Anterior chest wall pain as the initial presentation is uncommon and can contribute to the delayed diagnosis, as it prompts clinicians to rule out other pathologies.Case report: The patient is a 44-year-old woman who presented with chronic anterior chest wall pain, instability, imbalance, and upper motor neuron signs. Imaging was obtained, and magnetic resonance revealed an intradural extramedullary mass composed of adipose tissue from T2 to T5, indicative of a spinal lipoma. Subsequently, the patient underwent complete excision and laminoplasty successfully, immediately improving all symptoms.Conclusions: Diagnosing intradural extramedullary lipomas is intricate and often incidental, with varied presentations depending on tumor localization and size. While uncommon, it is crucial to maintain a heightened level of suspicion when evaluating persistent, unexplained pain resistant to conservative treatments and accompanied by neurological symptoms.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"127-132"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546778","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

Medial and Lateral Burns With Concomitant Infection After Genicular Nerve Radiofrequency Ablation: A Case Report. 膝神经射频消融术后内侧和外侧烧伤并发感染1例。

Pain medicine case reports Pub Date : 2024-04-01

Mark P Pressler, Priyanka Singla, Yasmin Sritapan, Lynn R Kohan, Bhavana Yalamuru

{"title":"Medial and Lateral Burns With Concomitant Infection After Genicular Nerve Radiofrequency Ablation: A Case Report.","authors":"Mark P Pressler, Priyanka Singla, Yasmin Sritapan, Lynn R Kohan, Bhavana Yalamuru","doi":"","DOIUrl":"","url":null,"abstract":"Background: Knee osteoarthritis management might include medication, intraarticular injections, physical therapy, and surgical intervention. Genicular nerve radiofrequency ablation (RFA) is an effective therapy for patients who do not receive benefit from conservative medical management and are not surgical candidates (secondary to medical comorbidity, patient preference, and other factors). Genicular nerve RFA is generally safe and has a low complication rate. However, there have been case reports of minor and major complications after RFA. We report a case of burns after genicular nerve RFA.Case report: A 49-year-old man (92 kg; body mass index [kg/m2] 28.3), with a history of coronary artery disease and chronic tobacco use, presented with 20 years of chronic knee pain. He previously had short-term relief with an intraarticular steroid knee injection. He was found to be a suitable candidate for genicular nerve RFA and underwent the procedure successfully without any immediate complications. His pain decreased from 9/10 before the procedure to 5/10 after his RFA. On postprocedure day 33, a 1 cm circular lesion with drainage was noted on the medial aspect of his knee. A lateral lesion was discovered at a subsequent follow-up appointment. He was treated with antibiotics, chlorhexidine cleansing, and dressing changes which resolved the lesions without any long-term sequelae.Conclusion: Our case represents an instance of full thickness skin burns with concomitant infection post genicular RFA, uniquely in both the medial and lateral sites. Our patient's risk factors of low body mass index, smoking, and vascular disease may have led to a delayed healing response. In addition, needle depth may also have contributed to his injury. Ensuring adequate needle depth and patient selection can minimize these complications.","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 3","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546771","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