Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion: A Comprehensive Literature Review
نویسندگان
چکیده
Dorsal root entry zone (DREZ) lesioning is a neurosurgical procedure that aims to relieve severe neuropathic pain in patients with brachial plexus avulsion by selectively destroying nociceptive neural structures the posterior cervical spinal cord. Since introduction of over 4 decades ago, DREZ technique has undergone numerous modifications, variety center- and surgeon-dependent technical differences patient outcomes. We have reviewed literature discuss reported methods
منابع مشابه
Changes in spontaneous dorsal horn potentials after dorsal root entry zone lesioning in patients with pain after brachial plexus avulsion.
OBJECTIVES This study investigated spontaneous dorsal horn potentials in patients with pain after brachial plexus avulsion and determined the effect of dorsal root entry zone (DREZ) lesioning on these potentials and on pain levels. METHODS Electrospinography (ESG) recordings were undertaken in seven patients using a noninvasive electrocorticography strip electrode. Measurements were taken fr...
متن کاملDorsal root entry zone lesions (Nashold's procedure) for pain relief following brachial plexus avulsion.
Brachial plexus avulsion is an important cause of severe intractable pain, particularly in young motor cyclists. The pain usually develops soon after the injury. In a minority of cases severe pain persists and is refractory to management. Nineteen patients are reviewed in whom dorsal root entry zone lesions have been produced for pain relief. The operative technique is described. Early post-ope...
متن کاملLong-term follow up of dorsal root entry zone lesions in brachial plexus avulsion.
The long-term results of 44 patients who underwent dorsal route entry zone (DREZ) lesioning for pain secondary to brachial plexus avulsion are reported with a mean clinical follow up period of 63 months. The postoperative analgesic effect was judged by the patients as being good (greater than 75% pain reduction), fair (25-75% pain reduction), or poor (0-25% pain reduction). With these criteria ...
متن کاملLong term follow-up results of dorsal root entry zone lesions for intractable pain after brachial plexus avulsion injuries.
Brachial plexus avulsion injury is one of the major complications after traffic, especially motorcycle accidents and machine injuries. Intractable pain and paralysis of the affected limbs are the major neurological deficits. During the past 18 years, we have encountered and treated more than 500 cases with brachial plexus avulsion injuries. Dorsal root entry zone lesions (DREZ) made by thermoco...
متن کاملMicrocoagulation of junctional dorsal root entry zone is effective treatment of brachial plexus avulsion pain: long-term follow-up study.
AIM To analyze long-term clinical results of coagulation lesions of the dorsal root entry zone (DREZ) in patients with deafferentation pain due to brachial plexus avulsion and to correlate the pain relief after DREZ coagulation with pain duration before the DREZ coagulation. METHODS Twenty-six patients with intractable deafferentation pain after brachial plexus avulsion lesion were treated fo...
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ژورنال
عنوان ژورنال: Operative Neurosurgery
سال: 2021
ISSN: ['2332-4252', '2332-4260']
DOI: https://doi.org/10.1093/ons/opaa447