Intercostal neurolysis for the therapy of postsurgical thoracic ache: A case sequence.
Muscle Nerve. 2018 Jul 11;:
Authors: Cappellari AM, Tiberio F, Alicandro G, Spagnoli D, Grimoldi N
INTRODUCTION: We investigated the doable position of intercostal surgical neurolysis in relieving power neuropathic ache refractory to different non-surgical remedies in sufferers with postsurgical thoracic ache.
METHODS: We retrospectively collected scientific information on sufferers referred to the Neurosurgery Unit of Policlinic Hospital of Milan. Ten sufferers (age vary: 20-68 years) affected by neuropathic ache for at the very least two months following thoracic surgical procedure underwent intercostal neurolysis.
RESULTS: In comparison with pre-neurolysis, ache depth decreased one month post-neurolysis and remained steady two months post-neurolysis [median score (IQR): 8 (6; 9) pre-neurolysis, 4 (3; 5) one month after and 3 (2; 5) two months after, p<0.0001]. Antiepileptic medication for ache management decreased after neurolysis (10/10 vs. 2/10, p= zero.008).
DISCUSSION: Surgical intercostal neurolysis could also be a promising therapeutic choice in sufferers with power neuropathic ache in affiliation with neurological deficits. This text is protected by copyright. All rights reserved.
PMID: 29995980 [PubMed – as supplied by publisher]