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KMID : 0948920160150010042
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Clinical Pain
2016 Volume.15 No. 1 p.42 ~ p.46
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Effect of Cervical Spinal Cord Stimulation Treatment of Brachial Plexus Injury Accompanied by Trauma-Related Left T1 Nerve Injury on MRI -A Case Report-
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Kim Dae-Yu
Jung Jun-Han
Oh Joo-Hyeon
Hong Seong-Jun
Shin Keun-Man
Kang Sang-Soo
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Abstract
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Brachial plexus injury (BPI) can cause severe motor and sensory dysfunction. The incidence of intractable neuropathic chronic pain varies from 26 to 80% and the optimal treatment option for BPI is inconclusive. We report the case of a 62-year-old male patient suffering from severe pain in his left upper extremity due to BPI. The magnetic resonance imaging of the cervicothoracic spine revealed a trauma-related 6 cm convoluted tubular dilatation of the left T1 nerve root. After a successful insertion of a cervical spinal cord stimulator with lead placement at C3-5, the score of numeric pain rating scale decreased from 9∼10/10 to 1∼3/10. Therefore spinal cord stimulation may be an effective treatment modality for deafferentation and neuropathic pain secondary to BPI that refractory to pharmacotherapy and conventional treatment.
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KEYWORD
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Brachial plexus injury, Deafferentation, Spinal cord stimulator
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