Abstract:
INTRODUCTION:We investigated the possible role of intercostal surgical neurolysis in relieving chronic neuropathic pain refractory to other nonsurgical treatments in patients with postsurgical thoracic pain. METHODS:We retrospectively collected clinical data on patients referred to the Neurosurgery Unit of Policlinic Hospital of Milan. Ten patients (age range, 20-68 years) suffering from neuropathic pain for at least 2 months after thoracic surgery underwent intercostal neurolysis. RESULTS:Compared with preneurolysis, pain intensity decreased 1 month postneurolysis and remained stable 2 months postneurolysis (median score [interquartile range]: 8 [6-9] preneurolysis, 4 [3-5] 1 month after, and 3 [2-5] 2 months after, P < 0.001). Antiepileptic drugs for pain control decreased after neurolysis. DISCUSSION:Surgical intercostal neurolysis may be a promising therapeutic option in patients with chronic neuropathic pain associated with neurological deficits. Muscle Nerve 58: 671-675, 2018.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Cappellari AM,Tiberio F,Alicandro G,Spagnoli D,Grimoldi Ndoi
10.1002/mus.26298subject
Has Abstractpub_date
2018-11-01 00:00:00pages
671-675issue
5eissn
0148-639Xissn
1097-4598journal_volume
58pub_type
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