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KMID : 1040020140050010050
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International Journal of Pain
2014 Volume.5 No. 1 p.50 ~ p.53
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Ultrasound-guided Pulsed Radiofrequency Treatment of Brachial Plexopathy due to Fibroma
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Kim Dong-Rim
Lee Oh-Haeng
Park Yong-Hee
Koo Gill-Hoi
Shin Hwa-Yong
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Abstract
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44-year-old man visited our pain clinic with pain, sensory deficits, and motor weakness of the left arm that developed after removal of a fibromatous tumor around the brachial plexus. Thirteen years ago, he had debulking surgery of a huge fibroma around the scalene and trapezius muscles. Following this procedure, he experienced persistent pain of the left arm. Follow-up MRI performed 10 years after the operation showed multiple tumors recurred surrounding the left C5-C8 nerve roots and left upper pleural space. The patient complained of left upper extremity pain, hypoesthesia at the left C5-T1 dermatomes, motor weakness at the left C7-T1 nerves, and Horner’s syndrome. Several times of brachial plexus blocks were given to him at the nerve root level, but the improvement of symptoms was temporary. Therefore, ultrasound-guided pulsed radiofrequency treatment on the left C5-C7 nerve root was performed. There were no noted complications and significant symptom relief was achieved for more than 6 months.
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KEYWORD
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brachial plexus, pulsed radiofrequency, tumor, ultrasonography
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