Long-term results of peripheral nerve stimulation for reflex sympathetic dystrophy

Journal of Neurosurgery
S J HassenbuschE C Covington

Abstract

This prospective, consecutive series describes peripheral nerve stimulation (PNS) for treatment of severe reflex sympathetic dystrophy (RSD) or complex regional pain syndrome, in patients with symptoms entirely or mainly in the distribution of one major peripheral nerve. Plate-type electrodes were placed surgically on affected nerves and tested for 2 to 4 days. Programmable generators were implanted if 50% or more pain reduction and objective improvement in physical changes were achieved. Patients were followed for 2 to 4 years and a disinterested third-party interviewer performed final patient evaluations. Of 32 patients tested, 30 (94%) underwent permanent PNS placement. Long-term good or fair relief was experienced in 19 (63%) of 30 patients. In successfully treated patients, allodynic and spontaneous pain was reduced on a scale of 10 from 8.3 +/- 0.3 preimplantation to 3.5 +/- 0.4 (mean +/- standard error of the mean) at latest follow up (p<0.001). Changes in vasomotor tone and patient activity levels were markedly improved but motor weakness and trophic changes showed less improvement. Six (20%) of the 30 patients undergoing PNS placement returned to part-time or full-time work after being unemployed prestimulator implanta...Continue Reading

References

Dec 1, 1976·Journal of Neurosurgery·J N Campbell, D M Long
Jan 1, 1992·Acta neurochirurgica·J M Gybels
Jul 1, 1990·Clinical Oncology : a Journal of the Royal College of Radiologists·N G BurnetN Howard
Nov 1, 1989·IEEE Transactions on Bio-medical Engineering·G B Racz, J E Heavner
Jan 1, 1989·Stereotactic and Functional Neurosurgery·G BarolatR Woo
Jan 1, 1987·Applied Neurophysiology·G BroggiA Denale
Sep 1, 1987·The Journal of Hand Surgery·H K Watson, L Carlson
Jan 1, 1983·Clinical Neurosurgery·D M Long
Apr 15, 1993·Annals of Internal Medicine·J M ArnoldS G Carruthers
Mar 1, 1996·Journal of Clinical Pathology·J M Hicks
Jun 1, 1977·Microbial Ecology·G L Barron

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Citations

Mar 17, 2001·Current Pain and Headache Reports·R Baron, G Wasner
Nov 30, 2000·Current Treatment Options in Neurology·P R Wilson
Jan 1, 2008·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Konstantin V Slavin
Jan 15, 2004·Anesthesiology Clinics of North America·Michael Stanton-Hicks
Jul 11, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ralph J MobbsReno Rossato
Oct 22, 2003·Neurosurgery Clinics of North America·John C Oakley
Oct 1, 2000·Neuromodulation : Journal of the International Neuromodulation Society·K M Aló, A M Zidan
Jan 1, 2002·Neuromodulation : Journal of the International Neuromodulation Society·Edwin Dunteman
Jul 1, 1998·The Clinical Journal of Pain·M Stanton-HicksR Wilder
Oct 27, 2004·The Clinical Journal of Pain·Nagy A MekhailMichael Stanton-Hicks
Jan 1, 1997·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·M Stanton-Hicks, J Salamon
Jun 15, 2006·The Clinical Journal of Pain·David V Nelson, Brett R Stacey
Mar 21, 2009·American Journal of Therapeutics·Eric S Hsu
Feb 26, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·C MaihöfnerK Markovic
Oct 1, 2005·Neuromodulation : Journal of the International Neuromodulation Society·Jens Ellrich, Susanne Lamp
Jan 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Paul VerrillsChantelle Sinclair
Jan 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Paul VerrillsChantelle Sinclair
Apr 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Claudio ReverberiLaura Demartini
Oct 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Alexios CarayannopoulosBrian Sites
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Robert M Levy
Feb 15, 2012·Neuromodulation : Journal of the International Neuromodulation Society·Rosa M Navarro, Danika C Vercimak
Dec 5, 2012·Neuromodulation : Journal of the International Neuromodulation Society·Robert M Levy
Sep 3, 2013·Neurosurgical Focus·Alberto FelettiPierluigi Longatti
Jun 7, 2014·Der Schmerz·C Maihöfner
Sep 23, 2014·Neurosurgery Clinics of North America·Mayur SharmaMilind Deogaonkar
Sep 23, 2014·Neurosurgery Clinics of North America·Juanmarco GutierrezNicholas M Boulis
Dec 22, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marc A Huntoon, Abram H Burgher
Jul 1, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Richard G Bittar, Peter J Teddy
Mar 19, 2008·Annals of Vascular Surgery·Raneem AlbazazShervanthi Homer-Vanniasinkam
Nov 28, 2015·Hand Clinics·Jason E PopeTimothy Deer
Jan 30, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·R J MobbsP Blum
Jun 27, 2009·Annals of Neurology·Anne Louise Oaklander, Howard L Fields
Nov 23, 2005·European Journal of Pain : EJP·Michiel VanekerH Margreet Oerlemans
May 3, 2012·Pain Practice : the Official Journal of World Institute of Pain·Richard L RauckJoseph W Boggs
Sep 3, 2010·Pain Practice : the Official Journal of World Institute of Pain·Frank van EijsFrank Huygen
Sep 7, 2013·Neuromodulation : Journal of the International Neuromodulation Society·Michael Gofeld, John G Hanlon
Aug 21, 2013·Neuromodulation : Journal of the International Neuromodulation Society·Richard L RauckJoseph W Boggs
Jan 15, 2010·Pain Practice : the Official Journal of World Institute of Pain·Nagy A MekhailTimothy Deer
Oct 31, 1997·Journal of the American Academy of Dermatology·J P Prager, M Csete
Jun 5, 2004·Neurosurgery Clinics of North America·Jacob Schwarz, Neal Naff
May 29, 2004·Foot and Ankle Clinics·Anand M Vora, Lew C Schon

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