Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report
Abstract Background Intractable chronic pain, as well as motor, sensory, and autonomic neuropathy, significantly reduces the quality of life of brachial plexus avulsion (BPA) patients. We report the successful application of cervical selective nerve root injection (CSNRI) in a patient with BPA. Case...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-022-00574-9 |
| _version_ | 1798029975668916224 |
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| author | Yoji Chikama Aiko Maeda Ryudo Tanaka Masachika Tominaga Kazuhiro Shirozu Ken Yamaura |
| author_facet | Yoji Chikama Aiko Maeda Ryudo Tanaka Masachika Tominaga Kazuhiro Shirozu Ken Yamaura |
| author_sort | Yoji Chikama |
| collection | DOAJ |
| description | Abstract Background Intractable chronic pain, as well as motor, sensory, and autonomic neuropathy, significantly reduces the quality of life of brachial plexus avulsion (BPA) patients. We report the successful application of cervical selective nerve root injection (CSNRI) in a patient with BPA. Case presentation A 40-year-old man had been diagnosed with complete left BPA due to a motorcycle accident and underwent intercostal nerve transplantation at the age of 18 years and had been experiencing pain ever since. His pain increased after fracture of the left humerus, and he was referred to our pain management clinic. As his exacerbated pain was suspected to be due to peripheral nerve hypersensitivity, we performed repetitive ultrasound-guided CSNRI (3 mL of 1% mepivacaine of each) targeted C5 and 6 intervertebral foramina, and his symptoms gradually improved. Conclusions Repetitive CSNRI may help diagnose and treat BPA-associated peripheral neuropathic pain, even in patients diagnosed with BPA. |
| first_indexed | 2024-04-11T19:32:56Z |
| format | Article |
| id | doaj.art-6c6ea8dcc732418c884624debdbbc3fb |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-11T19:32:56Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-6c6ea8dcc732418c884624debdbbc3fb2022-12-22T04:06:56ZengSpringerOpenJA Clinical Reports2363-90242022-10-01811410.1186/s40981-022-00574-9Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case reportYoji Chikama0Aiko Maeda1Ryudo Tanaka2Masachika Tominaga3Kazuhiro Shirozu4Ken Yamaura5Department of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalOperating Rooms, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of MedicineAbstract Background Intractable chronic pain, as well as motor, sensory, and autonomic neuropathy, significantly reduces the quality of life of brachial plexus avulsion (BPA) patients. We report the successful application of cervical selective nerve root injection (CSNRI) in a patient with BPA. Case presentation A 40-year-old man had been diagnosed with complete left BPA due to a motorcycle accident and underwent intercostal nerve transplantation at the age of 18 years and had been experiencing pain ever since. His pain increased after fracture of the left humerus, and he was referred to our pain management clinic. As his exacerbated pain was suspected to be due to peripheral nerve hypersensitivity, we performed repetitive ultrasound-guided CSNRI (3 mL of 1% mepivacaine of each) targeted C5 and 6 intervertebral foramina, and his symptoms gradually improved. Conclusions Repetitive CSNRI may help diagnose and treat BPA-associated peripheral neuropathic pain, even in patients diagnosed with BPA.https://doi.org/10.1186/s40981-022-00574-9Brachial plexus avulsionUltrasound-guided nerve blockCervical selective nerve root injectionChronic pain |
| spellingShingle | Yoji Chikama Aiko Maeda Ryudo Tanaka Masachika Tominaga Kazuhiro Shirozu Ken Yamaura Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report JA Clinical Reports Brachial plexus avulsion Ultrasound-guided nerve block Cervical selective nerve root injection Chronic pain |
| title | Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report |
| title_full | Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report |
| title_fullStr | Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report |
| title_full_unstemmed | Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report |
| title_short | Cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion: a case report |
| title_sort | cervical selective nerve root injection alleviates chronic refractory pain after brachial plexus avulsion a case report |
| topic | Brachial plexus avulsion Ultrasound-guided nerve block Cervical selective nerve root injection Chronic pain |
| url | https://doi.org/10.1186/s40981-022-00574-9 |
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