| DREZ Lesions for Neuropathic Pain |
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Seong Tae Kim, Moo Seong Kim, Sae Young Pyo, Young Gun Jeong, Sun Il Lee, Yong Tae Jung, Hae Woong Jeong, Hong Bo Sim, J Burchiel Kim |
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Department of Neurosurgery, Radiology, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea, Department of Neurosurgery, Ulsan University College of Medicine, Ulsan University Hospital, Ulsan, Korea, OHSU, Portland, OR, USA |
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| Abstract |
Objective
DREZ lesion indications are cancer pain, brachial plexus avulsion pain, spinal cord lesions pain, peripheral nerve lesions pain, postherpetic pain hyperspastic states with pain, etc.
Material: We operated 6 DREZ lesions from Sept. 1, 2001 to Aug. 31, 2002. Indications consisted of 3 brachial plexopathies, 2 stump pains, 1 spinal cord injury.
Result: Follow-up periods ranged from 3months to 10months (6.8months on average). Good result (that is, withdrawal of narcotics) was attained in 83.3% and pain relief > 50% (that is, no opioids) was attained in 16.7%. There was no complications.
Conclusion
DREZ lesions can achieve good pain relief in well-defined intractable persistent neurogenic pain. |
| Key Words:
DREZ, Brachial plexus avulsion, Spinal cord lesion. |
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