Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion

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Reversal of phantom pain and hand‐to‐face remapping after brachial plexus avulsion

Following left brachial plexus avulsion, a 20-year-old man had phantom limb pain and remapping of sensation from his paralyzed hand onto his face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement of the phantom limb with decreased pain. Within 2 weeks following nerve graft surgery, remapping of hand sensation onto the face disappeared along with resolution of phantom ...

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Neuropathic pain after brachial plexus avulsion - central and peripheral mechanisms

REVIEW The pain that commonly occurs after brachial plexus avulsion poses an additional burden on the quality of life of patients already impaired by motor, sensory and autonomic deficits. Evidence-based treatments for the pain associated with brachial plexus avulsion are scarce, thus frequently leaving the condition refractory to treatment with the standard methods used to manage neuropathic p...

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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...

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Neuropathic pain-like behavior after brachial plexus avulsion in mice: the relevance of kinin B1 and B2 receptors.

The relevance of kinin B(1) (B(1)R) and B(2) (B(2)R) receptors in the brachial plexus avulsion (BPA) model was evaluated in mice, by means of genetic and pharmacological tools. BPA-induced hypernociception was absent in B(1)R, but not in B(2)R, knock-out mice. Local or intraperitoneal administration of the B(2)R antagonist Hoe 140 failed to affect BPA-induced mechanical hypernociception. Intere...

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Spinal cord stimulation in the management of pain from brachial plexus avulsion.

This is a retrospective study of four patients suffering from brachial plexus root avulsion of traumatic origin. Spinal cord stimulation was used to treat pain in all patients. A seven-contact electrode was percutaneously introduced in the epidural cervical space and under fluoroscopic control, advanced to the level were stimulation provoked a tingling sensation in the painful region. A stimula...

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ژورنال

عنوان ژورنال: Annals of Clinical and Translational Neurology

سال: 2016

ISSN: 2328-9503,2328-9503

DOI: 10.1002/acn3.316