Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale
Background: There are no articles that aim to evaluate the specific role of surgical decompression on the recovery of pain and positive sensory symptoms (PSS) in patients with brachial plexus neuropathy (BPN), as well as the relationship between pain and frequency of sensory manifestations. Methods:...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-01-01
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| Series: | Journal of Integrative Neuroscience |
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| Online Access: | https://www.imrpress.com/journal/JIN/22/1/10.31083/j.jin2201025 |
| _version_ | 1797937664551288832 |
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| author | Ana I. García-Jeronimo Armando Armas-Salazar Luis García-Muñoz José L. Navarro-Olvera Mauricio A. Esqueda-Liquidano José D. Carrillo-Ruiz |
| author_facet | Ana I. García-Jeronimo Armando Armas-Salazar Luis García-Muñoz José L. Navarro-Olvera Mauricio A. Esqueda-Liquidano José D. Carrillo-Ruiz |
| author_sort | Ana I. García-Jeronimo |
| collection | DOAJ |
| description | Background: There are no articles that aim to evaluate the specific role of surgical decompression on the recovery of pain and positive sensory symptoms (PSS) in patients with brachial plexus neuropathy (BPN), as well as the relationship between pain and frequency of sensory manifestations. Methods: A prospective before and after study was performed, considering the pain intensity through the visual analogue scale (VAS), and the frequency of PSS through a proposed new scale: Sensory Frequency of Symptoms Scale (SFSS). To compare the patients before and after the intervention, a paired T-test, a Wilcoxon signed-rank test, and Cohen’s D test were made, coupled with a Spearman analysis in order to establish the relationship between pain and PSS. Results: Sixteen patients were included in the study, the clinical evaluation showed changes in pain according with VAS, going from a mean preoperative state of 8.19 to 1.31 after surgery, showing significant changes (84%, p < 0.00006, Δ = 2.776). Within the PSS, a significant decrease was observed in paresthesias (74%, p < 0.0001, Δ = 1.645), dysesthesias (80%, p < 0.002, Δ = 1.453), and allodynia (70%, p = 0.031, Δ = 0.635). Conversely, the preoperative correlation analysis between pain and dysesthesias/allodynia showed a low and non-significant relationship (R < 0.4, p > 0.05). Conclusions: Surgical decompression is an effective technique for the relief of pain and sensory manifestations in adult patients with BPN of compressive origin. No relationship was observed between pain and dysesthesias/allodynia. Therefore, during clinical evaluation, they should be considered as independent manifestations, highlighting the need to validate new scales. |
| first_indexed | 2024-04-10T18:48:53Z |
| format | Article |
| id | doaj.art-1344451893e441888f816e6a01310327 |
| institution | Directory Open Access Journal |
| issn | 0219-6352 |
| language | English |
| last_indexed | 2024-04-10T18:48:53Z |
| publishDate | 2023-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Journal of Integrative Neuroscience |
| spelling | doaj.art-1344451893e441888f816e6a013103272023-02-01T08:23:27ZengIMR PressJournal of Integrative Neuroscience0219-63522023-01-012212510.31083/j.jin2201025S0219-6352(22)00461-2Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms ScaleAna I. García-Jeronimo0Armando Armas-Salazar1Luis García-Muñoz2José L. Navarro-Olvera3Mauricio A. Esqueda-Liquidano4José D. Carrillo-Ruiz5Postgraduate Department, School of Higher Education in Medicine, National Polytechnic Institute, 07340 Mexico City, MexicoPostgraduate Department, School of Higher Education in Medicine, National Polytechnic Institute, 07340 Mexico City, MexicoFunctional & Stereotactic Neurosurgery & Radiosurgery Service, General Hospital of México, 06720 Mexico City, MexicoFunctional & Stereotactic Neurosurgery & Radiosurgery Service, General Hospital of México, 06720 Mexico City, MexicoFunctional & Stereotactic Neurosurgery & Radiosurgery Service, General Hospital of México, 06720 Mexico City, MexicoFunctional & Stereotactic Neurosurgery & Radiosurgery Service, General Hospital of México, 06720 Mexico City, MexicoBackground: There are no articles that aim to evaluate the specific role of surgical decompression on the recovery of pain and positive sensory symptoms (PSS) in patients with brachial plexus neuropathy (BPN), as well as the relationship between pain and frequency of sensory manifestations. Methods: A prospective before and after study was performed, considering the pain intensity through the visual analogue scale (VAS), and the frequency of PSS through a proposed new scale: Sensory Frequency of Symptoms Scale (SFSS). To compare the patients before and after the intervention, a paired T-test, a Wilcoxon signed-rank test, and Cohen’s D test were made, coupled with a Spearman analysis in order to establish the relationship between pain and PSS. Results: Sixteen patients were included in the study, the clinical evaluation showed changes in pain according with VAS, going from a mean preoperative state of 8.19 to 1.31 after surgery, showing significant changes (84%, p < 0.00006, Δ = 2.776). Within the PSS, a significant decrease was observed in paresthesias (74%, p < 0.0001, Δ = 1.645), dysesthesias (80%, p < 0.002, Δ = 1.453), and allodynia (70%, p = 0.031, Δ = 0.635). Conversely, the preoperative correlation analysis between pain and dysesthesias/allodynia showed a low and non-significant relationship (R < 0.4, p > 0.05). Conclusions: Surgical decompression is an effective technique for the relief of pain and sensory manifestations in adult patients with BPN of compressive origin. No relationship was observed between pain and dysesthesias/allodynia. Therefore, during clinical evaluation, they should be considered as independent manifestations, highlighting the need to validate new scales.https://www.imrpress.com/journal/JIN/22/1/10.31083/j.jin2201025brachial plexus neuropathysurgeryoutcomespainsensory |
| spellingShingle | Ana I. García-Jeronimo Armando Armas-Salazar Luis García-Muñoz José L. Navarro-Olvera Mauricio A. Esqueda-Liquidano José D. Carrillo-Ruiz Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale Journal of Integrative Neuroscience brachial plexus neuropathy surgery outcomes pain sensory |
| title | Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale |
| title_full | Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale |
| title_fullStr | Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale |
| title_full_unstemmed | Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale |
| title_short | Neuropathic Pain and Positive Sensory Symptoms in Brachial Plexus Neuropathy: An Exploratory Study of Outcomes after Surgical Decompression and Proposal of a New Sensory Frequency of Symptoms Scale |
| title_sort | neuropathic pain and positive sensory symptoms in brachial plexus neuropathy an exploratory study of outcomes after surgical decompression and proposal of a new sensory frequency of symptoms scale |
| topic | brachial plexus neuropathy surgery outcomes pain sensory |
| url | https://www.imrpress.com/journal/JIN/22/1/10.31083/j.jin2201025 |
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