J Korean Neurosurg Soc.  2002 Nov;32(5):492-495.

Dosal Root Ganglionectomy for a Post-Herpetic Neuralgia: Case Report

• Son DW
• Choi CH
• Cha SH

Abstract

We report a case of thoracic post-herpetic neuralgia which was improved by dorsal root ganglionectomy. The patient had failed to obtain adequate pain relief from conservative therapy such as carbamazepine, amitriptyline, thioridazine, gabapentin, and transcutaneous lidocaine infiltration. Thoracic dorsal root ganglionectomy from T5 to T7 on left side was performed and satisfactory pain relief without significant postoperative neurologic deficit was achieved. Although dorsal root entry zone operation for refractory pain was the most commonly performed procedure in past, dorsal root ganglionectomy is an alternative anatomically and technically safe procedure for the pain in the thoracic lesion. The clinical feature, operative technique and clinical result are presented with review of the literatures.

Keyword

Ganglionectomy; Thoracic post-herpetic neuralgia

MeSH Terms

Amitriptyline
Carbamazepine
Ganglionectomy*
Humans
Lidocaine
Neuralgia*
Neurologic Manifestations
Pain, Intractable
Spinal Nerve Roots
Thioridazine
Amitriptyline
Carbamazepine
Lidocaine
Thioridazine