Five patients with deafferentation pain due to brachial plexus avulsion injuries were treated with cervical dorsal column stimulation (DCS). This has produced a clinically useful improvement in pain relief and mood scores during a mean follow-up period of 13.5 months. No complications have been encountered and the advantages of DCS are discussed.
TaskerRR. Deafferentation. In: WallPDMelzackR, eds. Textbook of Pain.London: Churchill-Livingstone, 1985:119–32.
2.
BonneyG. Prognosis in traction lesions of brachial plexus. J Bone Joint Surg1959;41-B:4–35.
3.
TaylorP. Traumatic intradural avulsion of nerve roots of the brachial plexus. Brain1962;85:579–600.
4.
YoemanPM. Traction injuries of the brachial plexus. In: SeddonH. Surgical Disorders of the Peripheral Nerves.Baltimore, Maryland: Williams & Wilkins Co., 1972.
5.
Wynn-ParryCB. Pain in avulsion lesions of the brachial plexus. Pain1980;9:41–53.
6.
ZorubDSNasholBSCookAW. Avulsion of the brachial plexus: A review with implications on therapy of intractable pain. Surg Neurol1974;2:347–353.
7.
KrauseBLBalakrishnanV. Dorsal root entry zone radiofrequency lesion for pain relief in brachial plexus avulsion. N Z Med J1986;99:851–3.
8.
ShealeyCNMortimerJTRenwickJB. Electrical inhibition of pain by stimulation of the dorsal column. Anaesth Analg1967;46:489–91.
9.
CookAWOygarABaggenstosPPacheoSKlerigaE. Vascular disease of extremities. N Y State J Med1976;76:366–8.
10.
MeglioMCioniBRossiGF. Spinal cord stimulation in management of chronic pain. J Neurosurg1989; 70:519–24.
11.
MelzackRWallPD. Pain mechanisms: A new theory. Science1965;150:971–24.
12.
DahnIEkmanGALassonNA. On the conservative treatment of severe ischaemia of the leg. J Clin Lab Invest1967;19(suppl. 99):160–5.
13.
AugustinssonLEHolmJCarlssonCJivegoodL. Epidural electrical stimulation in severe limb ischaemia. Ann Surg1985;202:104–10.
14.
BrosetaJRoldonPGonzalez-DorderJBorderVBorcio-SalorioJL. Chronic epidural dorsal column stimulation in the treatment of causalgic pain. Appl Neurophysiol1982;45:190–4.
