The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Spinal Cord Stimulation in a Patient with Preganglionic and Postganglionic Brachial Plexus Injury -A case report-

절전, 절후 신경손상을 동반한 상완신경총병증 환자에서 시행한 척수자극술 -증례보고-

  • Hong, Ji Hee (Department of Anesthesiology and Pain Medicine, Dong San Medical Center, Keimyung University School of Medicine) ;
  • Jang, Hyun Sug (Department of Anesthesiology and Pain Medicine, Dong San Medical Center, Keimyung University School of Medicine)
  • 홍지희 (계명대학교 의과대학 동산의료원 마취통증의학교실) ;
  • 장현석 (계명대학교 의과대학 동산의료원 마취통증의학교실)
  • Received : 2008.09.24
  • Accepted : 2008.10.21
  • Published : 2008.12.30
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Abstract

After a traumatic brachial plexus injury, 80% of patients develop severe pain in the deafferentated arm. This type of pain is considered very resistant to many forms of therapy. When we plan treatments for the patient who suffer from a pain from traumatic brachial plexus injury, clarifying the location of injured nerve is very important. EMG (electromyography), NCV (nerve conduction study), MRI (magnetic resonance imaging) and CT (computed tomography) myelography are recommended diagnostic method for this purpose. Here, we presented a patient who was suspected to have both preganglionic and postganglionic brachial plexus lesion by EMG and NCV study, he showed favorable response after spinal cord stimulation.

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References

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