HOW FREQUENT IS ANESTHESIA-DOLOROSA FOLLOWING SPINAL POSTERIOR RHIZOTOMY - A RETROSPECTIVE ANALYSIS OF 15 PATIENTS

被引:9
作者
PAGNI, CA [1 ]
LANOTTE, M [1 ]
CANAVERO, S [1 ]
机构
[1] CTO HOSP,DEPT NEUROSURG,TURIN,ITALY
关键词
PAIN SURGERY; SPINAL POSTERIOR RHIZOTOMY; ANESTHESIA-DOLOROSA; DEAFFERENTATION PAIN;
D O I
10.1016/0304-3959(93)90032-K
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Anesthesia dolorosa has been considered an unfrequent complication of spinal posterior rhizotomy. We reviewed the data of all patients who underwent rhizotomy between 1962 and 1972 (15 cases). Thirteen were affected by cancer and 2 by non-neoplastic conditions. Eight developed a typical deafferentation pain (i.e., anesthesia dolorosa) (53%) while 3 who were found to have a brain (frontal 2; parietal 1) metastasis did not. Anesthesia dolorosa developed 1.5-8 months after rhizotomy. We conclude that anesthesia dolorosa following rhizotomy is more frequent than usually stated and that rhizotomy should be restricted to patients with a less than 3-month life expectancy.
引用
收藏
页码:323 / 327
页数:5
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