PERIPHERAL NERVE STIMULATION IN TRAUMATIC BRACHIAL PLEXUS INJURY WITH CHRONIC ARM PAIN

2018 ◽  
Author(s):  
Adrian Darryll Sulindro
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Brachial Plexus Injury ◽  
Peripheral Nerve Stimulation ◽  
Arm Pain

Ultrasound-guided peripheral nerve stimulation for neuropathic pain after brachial plexus injury: two case reports

2017 ◽  
Vol 31 (3) ◽  
pp. 453-457 ◽  
Author(s):  
Jung Hyun Kim ◽  
Sang Ho Shin ◽  
Young Rong Lee ◽  
Hyo Seon Lee ◽  
Jin Young Chon ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Brachial Plexus Injury ◽  
Case Reports ◽  
Peripheral Nerve Stimulation ◽  
Ultrasound Guided

Peripheral Nerve Stimulation in the Practice of Brachial Plexus Anesthesia

2001 ◽  
Vol 26 (5) ◽  
pp. 478-483 ◽  
Author(s):  
Jose De Andrés ◽  
Xavier Sala-Blanch
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Peripheral Nerve Stimulation

Peripheral Nerve Stimulation of Brachial Plexus Nerve Roots and Supra-Scapular Nerve for Chronic Refractory Neuropathic Pain of the Upper Limb

2017 ◽  
Vol 20 (7) ◽  
pp. 684-689 ◽  
Author(s):  
Bénédicte Bouche ◽  
Marie Manfiotto ◽  
Philippe Rigoard ◽  
Jean Lemarie ◽  
Véronique Dix-Neuf ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Nerve Stimulation ◽  
Peripheral Nerve Stimulation ◽  
Nerve Roots ◽  
Stimulation Of

scholarly journals Combined Spinal Cord Stimulation and Peripheral Nerve Stimulation for Brachial Plexopathy: A Case Report

2016 ◽  
Vol 3;19 (3;3) ◽  
pp. E459-E463
Author(s):  
Ho Sik Moon
Keyword(s):  
Spinal Cord ◽  
Chronic Pain ◽  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Spinal Cord Stimulation ◽  
Rating Scale ◽  
Combined Treatment ◽  
Peripheral Nerve Stimulation ◽  
Brachial Plexopathy

Brachial plexopathy usually results from an iatrogenic brachial plexus injury and can sometimes cause severe chronic pain and disability. There are a number of possible treatments for this condition, including medication, physical therapy, nerve blocks, and neuromodulation, but they are not always successful. Recently, combined spinal cord stimulation (SCS) and peripheral nerve stimulation (PNS) have been tried for various chronic pain diseases because of their different mechanisms of action. Here, we describe the case of a 54-year-old man who was diagnosed with brachial plexopathy 8 years ago. He underwent video-assisted thoracoscopic surgery to remove a superior mediastinal mass. However, his brachial plexus was damaged during the surgery. Although he had received various treatments, the pain did not improve. For the management of intractable severe pain, he underwent SCS 2 years ago, which initially reduced his pain from numeric rating scale (NRS) 10/10 to NRS 4 – 5/10, but the pain then gradually increased, reaching NRS 8/10, 6 months ago. At that time, he was refractory to other treatments, and we therefore applied PNS in combination with SCS. The PNS electrode was positioned on the radial nerve under ultrasound guidance. After combined PNS and SCS, his background pain disappeared, although a breakthrough pain (NRS 3 – 4/10) was caused intermittently by light touch. Furthermore, the patient’s need for analgesics decreased, and he was satisfied with the outcome of this combined treatment. We concluded that combined SCS and PNS is a very useful treatment modality, which can stimulate the target nerve both directly and indirectly, and hence, relieve pain from brachial plexopathy. Key words: Brachial plexopathy, spinal cord, peripheral nerve, stimulation, ultrasound, neuropathic

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