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Microsurgical dorsal root entry zone coagulation for chronic neuropathic pain due to spinal cord and/or cauda equina injuries 被引量:4

Microsurgical dorsal root entry zone coagulation for chronic neuropathic pain due to spinal cord and/or cauda equina injuries
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摘要 Chronic pain is a major problem for patients suffering from spinal cord injury (SCI).The prevalence of SCI-related pain ranges from 48% to 94% depending on the method of data acquisition and type of pain considered.1 SCI-related neuropathic pain is classified into three subtypes:above-,at-,and below-lesion-level pain.After SCI,it is believed that the dorsal horn of the injured spinal cord expressed increased electrical activity.2 Thus,the neurosurgical procedures for coagulation in the dorsal root entry zone (DREZ) have proved to be most effective in chronic neuropathic pain due to SCI.The aim of this study was to describe the effect and safety ofmicrosurgical DREZ coagulation in treating chronic SCI-related neuropathic pain. Chronic pain is a major problem for patients suffering from spinal cord injury (SCI).The prevalence of SCI-related pain ranges from 48% to 94% depending on the method of data acquisition and type of pain considered.1 SCI-related neuropathic pain is classified into three subtypes:above-,at-,and below-lesion-level pain.After SCI,it is believed that the dorsal horn of the injured spinal cord expressed increased electrical activity.2 Thus,the neurosurgical procedures for coagulation in the dorsal root entry zone (DREZ) have proved to be most effective in chronic neuropathic pain due to SCI.The aim of this study was to describe the effect and safety ofmicrosurgical DREZ coagulation in treating chronic SCI-related neuropathic pain.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第1期182-184,共3页 中华医学杂志(英文版)
关键词 dorsal root entry zone chronic neuropathic pain spinal cord injury cauda equina injury dorsal root entry zone chronic neuropathic pain, spinal cord injury cauda equina injury
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  • 1Sawatzky B,Bishop CM,Miller WC,SCIRE Research Team. Classification and measurement of pain in the spinal cord-injured population[J].{H}SPINAL CORD,2008.2-10.
  • 2Yezierski RP. Spinal cord injury:a model of central neuropathic pain[J].{H}NeuroSignals,2005.182-193.
  • 3Falci S,Best L,Bayles R,Lammertse D Starnes C. Dorsal root entry zone microcoagulation for spinal cord injury-related central pain:operative intramedullary electrophysiological guidance and clinical outcome[J].{H}Journal of Neurosurgery,2002.193-200.
  • 4Sindou M,Mertens P,Wael M. Microsurgical DREZotomy for pain due to spinal cord and/or cauda equina injuries:long-term results in a series of 44 patients[J].{H}PAIN,2001.159-171.
  • 5Garcia-Larrea L,Peyron R,Mertens P,Laurent B MauguieAre F Sindou M. Functional imaging and neurophysiolocical assessment of spinal and brain therapeutic modulation in humans[J].{H}ARCHIVES OF MEDICAL RESEARCH,2000.248-257.

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