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22. Traumatic Plexus Lesion
Author(s) -
van Dongen Robert,
Cohen Steven P.,
van Kleef Maarten,
Mekhail Nagy,
Huygen Frank
Publication year - 2011
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2011.00451.x
Subject(s) - neurostimulation , medicine , lesion , nociception , neuropathic pain , brachial plexus , plexus , rehabilitation , sensory system , pathophysiology , anesthesia , physical medicine and rehabilitation , surgery , neuroscience , physical therapy , pathology , stimulation , psychology , receptor
Pain, motor, and sensory deficits characterize patients with a traumatic lesion of the brachial plexus. Frequently, more severe injuries co‐exist that require immediate surgical attention. Early rehabilitation and physical therapy are the cornerstones of treatment. Pharmacological management can be difficult. Surgical reconstruction is frequently advised when nerves are disrupted. The results, mostly from small historical reports, vary greatly. Neurostimulation may have an additional beneficial effect, especially if the pathophysiology of nociception and neuropathic pain becomes evident in these complex patients.