Yeungnam Univ J Med.  2002 Jun;19(1):49-54. 10.12701/yujm.2002.19.1.49.

Microsurgical DREZotomy for treatment of intractable central pain in patient with spinal cord injury

• Lee ZI
• Kim SH
• Ahn SH
• Jang SH

• KMID: 1909946
• DOI: http://doi.org/10.12701/yujm.2002.19.1.49

Abstract

The central pain in patient with spinal cord injury is a common and disabling sequelae. The microsurgical DREZ(Dorsal Root Entry Zone)otomy is a surgical procedure effective in the treatment of intractable pain and spasticity in spinal cord injured patients. It consists of a microsurgical lesions performed in the ventrolateral region of the dorsal root entry zone at the selected levels. This report presents one case with incomplete paraplegia patient, who had chronic central neuropathic pain ineffective to many conservative treatments in bilateral T10 and right T11 segments and both lower extremities, is relieved from the pain after microsurgical DREZotomy. In conclusion, microsurgical DREZotomy is one method of effective treatments for spinal cord injured patients with intractable central neuropathic pain.

Keyword

Central pain; Spinal cord injury; Microsurgical DREZotomy

MeSH Terms

Humans
Lower Extremity
Muscle Spasticity
Neuralgia
Pain, Intractable
Paraplegia
Spinal Cord Injuries*
Spinal Cord*
Spinal Nerve Roots