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Papers of the Week


2022 Oct 24


J Neurosurg Case Lessons


4


17

Tight adhesions after spinal cord stimulation observed during dorsal root entry zone lesioning for pain after spinal root avulsion: illustrative cases.

Authors

Kimoto Y, Hosomi K, Ohnishi Y, Emura T, Mori N, Nishi A, Yanagisawa T, Tani N, Oshino S, Saitoh Y, Kishima H
J Neurosurg Case Lessons. 2022 Oct 24; 4(17).
PMID: 36281477.

Abstract

Patients often experience strong shooting pains after spinal root avulsion. The efficacy of spinal cord stimulation (SCS) for this type of pain is inconsistent; however, dorsal root entry zone (DREZ) lesioning (DREZ-lesion) has often proven to be an effective treatment modality. The authors report two cases in which DREZ-lesion was performed to treat pain after spinal root avulsion after implantation of SCS, but the operations were challenging due to strong adhesions.