REPEATED RADIOFREQUENCY DORSAL ROOT GANGLION NEUROTOMY IN A PATIENT WITH PAINFUL RADICULOPATHY. A CASE REPORT AND LITERATURE REVIEW

2015 ◽  
Vol 20 (1) ◽  
pp. 28
Author(s):  
O. E. Egorov ◽  
G. Yu. Evzikov
2021 ◽  
Vol 14 (5) ◽  
pp. e241353
Author(s):  
Gaurav Chauhan ◽  
Brandon I Roth ◽  
Nagy Mekhail

Dorsal root ganglion stimulation (DRGS) therapy is a rapidly emerging tool being used by pain physicians in the treatment of chronic pain. Complex regional pain syndrome (CRPS), a debilitating disease whose mechanism is still has yet to be fully elucidated, is a common pathology targeted by DRGS therapy, often better results than traditional spinal cord stimulation. DRGS therapy, however, is not bereft of complications. Lead migration and fracture are two examples in particular that are among the most common of these complications. The authors report an unusual case of lost efficacy due to lead fractures in patients with CRPS treated with DRGS. The case report narrates identification, management and probable mechanism of DRGS lead fracture. The structural instability of DRGS leads can yield distressing symptoms at any point during the therapy, and physicians should be cognisant of the complications of DRGS therapy.


Pain Medicine ◽  
2020 ◽  
Vol 21 (8) ◽  
pp. 1581-1589 ◽  
Author(s):  
Timothy R Deer ◽  
Corey W Hunter ◽  
Pankaj Mehta ◽  
Dawood Sayed ◽  
Jay S Grider ◽  
...  

Abstract Objective To conduct a systematic literature review of dorsal root ganglion (DRG) stimulation for pain. Design Grade the evidence for DRG stimulation. Methods An international, interdisciplinary work group conducted a literature search for DRG stimulation. Abstracts were reviewed to select studies for grading. General inclusion criteria were prospective trials (randomized controlled trials and observational studies) that were not part of a larger or previously reported group. Excluded studies were retrospective, too small, or existed only as abstracts. Studies were graded using the modified Interventional Pain Management Techniques–Quality Appraisal of Reliability and Risk of Bias Assessment, the Cochrane Collaborations Risk of Bias assessment, and the US Preventative Services Task Force level-of-evidence criteria. Results DRG stimulation has Level II evidence (moderate) based upon one high-quality pivotal randomized controlled trial and two lower-quality studies. Conclusions Moderate-level evidence supports DRG stimulation for treating chronic focal neuropathic pain and complex regional pain syndrome.


2020 ◽  
Vol 198 ◽  
pp. 106138 ◽  
Author(s):  
Reda Tolba ◽  
Alvah Tyson Wickboldt ◽  
Ashley Peairs ◽  
Hossam Eldin Mohamed ◽  
Myles Storey ◽  
...  

2018 ◽  
Vol 13 (1) ◽  
pp. 32-34
Author(s):  
Gurkirat Kohli ◽  
Shawn Amin ◽  
Yehuda Herschman ◽  
Antonios Mammis

2020 ◽  
pp. 207-210
Author(s):  
Chong Kim

Background: Frostbite is an injury caused by exposure to extreme cold that can result in chronic refractory pain due to sensory neuropathy in severe cases, with limited treatment options. We report the use of neuromodulation targeting the dorsal root ganglion for the treatment of refractory foot pain due to frostbite neuropathy. Case Presentation: A 65-year-old man presented 40 years after a frostbite injury with continued refractory burning and severe pain in his left foot. After failing multiple interventions, the patient underwent a dorsal root ganglion (DRG) stimulation and implantation at the left L5 level with significant improvement of his pain. Conclusion: The patient experienced significant improvement in pain at 24 months after DRG stimulation trial and implantation. This case report suggests that the use of DRG stimulation may provide effective treatment of refractory pain due to frostbite injury. Key words: Dorsal root ganglion stimulation, frostbite, frostbite neuropathy, neuralgia, neuromodulation, spinal cord stimulation


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