Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report
Somatosensory tinnitus is a diagnostic challenge and difficult to treat. It is assumed that cervical somatosensory information conveyed to the cochlear nucleus can cause tinnitus. The cervical facet joints are commonly involved in neck pain. The innervation of these joints can be blocked (medial bra...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-12-01
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| Series: | Otolaryngology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548816300303 |
| _version_ | 1811322105616138240 |
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| author | Stephan Klessinger |
| author_facet | Stephan Klessinger |
| author_sort | Stephan Klessinger |
| collection | DOAJ |
| description | Somatosensory tinnitus is a diagnostic challenge and difficult to treat. It is assumed that cervical somatosensory information conveyed to the cochlear nucleus can cause tinnitus. The cervical facet joints are commonly involved in neck pain. The innervation of these joints can be blocked (medial branch block) as a diagnostic test to find the pain source. Treatment of chronic neck pain is possible with denervation of the medial branch with thermal radiofrequency neurotomy after a positive response to medial branch blocks. However, it is unknown, whether a neurotomy of the medial branches would also influence information conveyed to the cochlear nucleus. Here, we present a patient with successful testing and treatment of somatosensory tinnitus with medial branch blocks and radiofrequency neurotomy. |
| first_indexed | 2024-04-13T13:29:17Z |
| format | Article |
| id | doaj.art-6b079f7b2ad74d96a50debc602bbe57a |
| institution | Directory Open Access Journal |
| issn | 2468-5488 |
| language | English |
| last_indexed | 2024-04-13T13:29:17Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Otolaryngology Case Reports |
| spelling | doaj.art-6b079f7b2ad74d96a50debc602bbe57a2022-12-22T02:45:02ZengElsevierOtolaryngology Case Reports2468-54882016-12-011181010.1016/j.xocr.2016.11.001Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case reportStephan Klessinger0Department of Neurosurgery, Nova Clinic Biberach, Eichendorffweg 5, 88400 Biberach, GermanySomatosensory tinnitus is a diagnostic challenge and difficult to treat. It is assumed that cervical somatosensory information conveyed to the cochlear nucleus can cause tinnitus. The cervical facet joints are commonly involved in neck pain. The innervation of these joints can be blocked (medial branch block) as a diagnostic test to find the pain source. Treatment of chronic neck pain is possible with denervation of the medial branch with thermal radiofrequency neurotomy after a positive response to medial branch blocks. However, it is unknown, whether a neurotomy of the medial branches would also influence information conveyed to the cochlear nucleus. Here, we present a patient with successful testing and treatment of somatosensory tinnitus with medial branch blocks and radiofrequency neurotomy.http://www.sciencedirect.com/science/article/pii/S2468548816300303Somatosensory tinnitusMedial branch blockRadiofrequency neurotomyFacet jointZygapophysial jointCervical spinePain |
| spellingShingle | Stephan Klessinger Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report Otolaryngology Case Reports Somatosensory tinnitus Medial branch block Radiofrequency neurotomy Facet joint Zygapophysial joint Cervical spine Pain |
| title | Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report |
| title_full | Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report |
| title_fullStr | Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report |
| title_full_unstemmed | Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report |
| title_short | Radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma. A case report |
| title_sort | radiofrequency neurotomy for the treatment of somatosensory tinnitus in a patient after spine trauma a case report |
| topic | Somatosensory tinnitus Medial branch block Radiofrequency neurotomy Facet joint Zygapophysial joint Cervical spine Pain |
| url | http://www.sciencedirect.com/science/article/pii/S2468548816300303 |
| work_keys_str_mv | AT stephanklessinger radiofrequencyneurotomyforthetreatmentofsomatosensorytinnitusinapatientafterspinetraumaacasereport |