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Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve.
Ferreira-Dos-Santos, Guilherme; Hurdle, Mark Friedrich B; Gupta, Sahil; Ghazi, Salim M; Trigg, Stephen D; Clendenen, Steven R.
Afiliación
  • Ferreira-Dos-Santos G; Department of Physical Medicine and Rehabilitation, Central Lisbon University Hospital Center, Lisbon, Portugal; NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal. Electronic address: guilhermesantos@campus.ul.pt.
  • Hurdle MFB; Department of Pain Medicine, Mayo Clinic, Jacksonville, FL.
  • Gupta S; Department of Pain Medicine, Southern Illinois Healthcare, Carbondale, IL.
  • Ghazi SM; Department of Pain Medicine, Mayo Clinic, Jacksonville, FL.
  • Trigg SD; Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL.
  • Clendenen SR; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL.
J Hand Surg Am ; 46(3): 250.e1-250.e5, 2021 03.
Article en En | MEDLINE | ID: mdl-32698979
This case report presents an application of peripheral nerve stimulation to the median nerve to treat a patient with intractable pain due to a lipofibromatous hamartoma of the left upper extremity. Ultra high-frequency ultrasound was used to determine the boundaries of the hamartoma. The patient then underwent an ultrasound-guided implantation of 2 stimulator electrodes distal to the elbow along the median nerve with stimulation coverage achieved at 1.2 and 1.4 mA, respectively. After an uneventful procedure, the pain score immediately decreased from 9 out of 10 to less than 6 on a numeric rating scale. Two weeks after the procedure, the patient reported substantial pain relief, with an average pain level of 5 to 6 out of 10. Twelve months after implantation, the patient maintained significant pain relief, rating her average pain level as a 4 to 6 out of 10. Placement of a percutaneous peripheral nerve stimulator was safe and effective with no adverse events being reported at the 12-month follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Intratable / Estimulación Eléctrica Transcutánea del Nervio / Hamartoma Límite: Female / Humans Idioma: En Revista: J Hand Surg Am Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Intratable / Estimulación Eléctrica Transcutánea del Nervio / Hamartoma Límite: Female / Humans Idioma: En Revista: J Hand Surg Am Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos