Dorsal root entry zone lesions for the treatment of post-herpetic neuralgia.

Abstract:

:Post-herpetic pain was treated in 12 patients using dorsal root entry zone ( DREZ ) lesions. All patients had failed to receive adequate pain relief from conservative therapy consisting of transcutaneous nerve stimulation, carbamazepine, and/or amitriptyline. Dorsal root entry zone lesions were made to include the involved dermatomes plus one-half of the dermatomes above and below the painful areas. Eight patients reported good pain relief with follow-up periods ranging from 6 to 21 months. A ninth patient obtained satisfactory pain relief, but the superior 1 cm of the original painful area was not included in the distribution of the DREZ lesions. Patients whose lesions were performed using a thermally controlled lesion probe suffered no significant postoperative neurological deficit. Dorsal root entry zone lesions appeared to be a satisfactory treatment for post-herpetic neuralgia in patients who have failed to respond to more conservative modes of therapy.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Friedman AH,Nashold BS Jr,Ovelmen-Levitt J

doi

10.3171/jns.1984.60.6.1258

subject

Has Abstract

pub_date

1984-06-01 00:00:00

pages

1258-62

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

60

pub_type

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