Open AccessIntractable Neuropathic Pain in Spinal Intramedullary Cavernoma Treated Successfully with a Novel Combination Cream
Author(s) -
KOPSKY DAVID JOS,
AMELINK GERRIT JOHAN,
KEPPEL HESSELINK JAN MARIUS
Publication year - 2012
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2012.01362.x
Subject(s) - medicine , syringomyelia , intramedullary rod , weakness , surgery , magnetic resonance imaging , neuropathic pain , anesthesia , radiology
To the Editor:Herein, we report our successful use of a compounded cream to treat a patient with neuropathic pain due to an old hemorrhage caused by a spinal intramedullary cavernoma, resistant to oral analgesics.In July 2004, a 63-year-old man faced a sudden onset of burning pain in his right armpit, upper back, and neck after strenuous rotational movement of the thorax. Soon tingling in his right arm and numbness and weakness in his legs developed. Diminished sensibility for touch, pinprick, warmth, and cold at the right side, from Th12 downward was found. Magnetic resonance imaging (MRI) showed a cystic process extending from C4 until Th2. Slowed conduction velocities were present in C5. Syringomyelia was diagnosed by two different neurosurgeons. The patient refused surgery because of potential for complications. Six …