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Dropped head syndrome after bilateral cervical radiofrequency ablation. A case report and literature review.
Ojeda Niño, Antonio; Manterola Lasa, Oihane; Gracia Fabre, Cesar; Nebreda-Clavo, Carlos L; Ferreira-Dos-Santos, Guilherme; Armand-Ugon, Rosario.
Afiliación
  • Ojeda Niño A; Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
  • Manterola Lasa O; Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
  • Gracia Fabre C; Department of Anesthesiology, Reanimation, and Pain Medicine, Sant Joan Despi Hospital, Spain.
  • Nebreda-Clavo CL; Aliaga Institute, Tecknon Hospital, Barcelona, Spain.
  • Ferreira-Dos-Santos G; Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
  • Armand-Ugon R; Department of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
Interv Pain Med ; 3(2): 100409, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39238580
ABSTRACT

Introduction:

Cervical medial branch radiofrequency ablation is an effective treatment for cervical facet joint pain. It is considered a safe procedure, and permanent complications are very rare. We report a case of a patient who developed dropped-head syndrome (DHS) after bilateral treatment. Case report An 86-year-old man was referred to our pain clinic because of neck pain. One year before, he underwent bilateral multi-level cervical medial branch radiofrequency ablation. Within the next 24 hours, he experienced progressive neck extensor muscle weakness. After a comprehensive examination, he was diagnosed with dropped head syndrome as a complication of the radiofrequency procedure. Conservative management was chosen, resulting in partial improvement of the muscular weakness.

Conclusion:

The present case, along with others reviewed in this article, supports the recommendation against performing bilateral and multilevel cervical medial branch radiofrequency ablation.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Interv Pain Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Interv Pain Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Países Bajos