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Dorsal rhizotomy for treatment of bilateral intercostal neuralgia following augmentation mammaplasty: Case report and review of the literature
Author(s) -
Dorsi Michael J.,
Lambrinos George,
Dellon A. Lee,
Belzberg Allan J.
Publication year - 2011
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20828
Subject(s) - medicine , rhizotomy , intercostal nerves , surgery , dorsum , anesthesia , neuralgia , neuropathic pain , anatomy
Intercostal neuralgia may develop following breast augmentation. The authors describe a woman who suffered 2 years of severe pain associated with cutaneous hypaesthesia in a T3‐T5 distribution. Serial, placebo‐controlled T3‐T5 dorsal root nerve blocks provided temporary pain relief. The patient experienced immediate and lasting pain relief (34 months) following bilateral T3‐T5 dorsal rhizotomies. This case provides anectdotal evidence that dorsal rhizotomy is a beneficial intervention for refractory intercostal neuralgia. © 2010 Wiley‐Liss, Inc. Microsurgery, 2011.