Dorsal Root Entry Zone Lesions (Nashold's Procedure) for Pain Relief Following Brachial Plexus Avulsion

Overview

Journal J Neurol Neurosurg Psychiatry

Publisher BMJ Publishing Group

Specialties Neurology
Neurosurgery
Psychiatry

Date 1983 Oct 1

PMID 6644316

Citations 5

Authors

D G Thomas

J P Sheehy

Affiliations

Soon will be listed here.

Abstract

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-operative motor or sensory disturbance in the ipsilateral leg have been temporary side effects, with mild persisting deficits in a minority. Sixteen cases have had significant persisting pain relief. The maximum follow-up period is 2 1/2 years.

Citing Articles

Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion Injuries: Case Series and Literature Review.

Chalil A, Wang Q, Abbass M, Santyr B, MacDougall K, Staudt M Front Pain Res (Lausanne). 2022; 2:749801.

PMID: 35295454 PMC: 8915773. DOI: 10.3389/fpain.2021.749801.

A Literature Review of Dorsal Root Entry Zone Complex (DREZC) Lesions: Integration of Translational Data for an Evolution to More Accurate Nomenclature.

Visnjevac O, Ma F, Abd-Elsayed A J Pain Res. 2021; 14:1-12.

PMID: 33442287 PMC: 7800708. DOI: 10.2147/JPR.S255726.

Microcoagulation of junctional dorsal root entry zone is effective treatment of brachial plexus avulsion pain: long-term follow-up study.

Prestor B Croat Med J. 2006; 47(2):271-8.

PMID: 16625692 PMC: 2080390.

Long-term follow up of dorsal root entry zone lesions in brachial plexus avulsion.

Thomas D, Kitchen N J Neurol Neurosurg Psychiatry. 1994; 57(6):737-8.

PMID: 8006657 PMC: 1072980. DOI: 10.1136/jnnp.57.6.737.

Dorsal column stimulation (DCS) in chronic pain: report of 31 cases.

Mittal B, Thomas D, Walton P, Calder I Ann R Coll Surg Engl. 1987; 69(3):104-9.

PMID: 2955738 PMC: 2498499.

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