• Journal of anesthesia · Apr 2013

    Case Reports

    Pulsed radiofrequency treatment within brachial plexus for the management of intractable neoplastic plexopathic pain.

    • Young-Chang P Arai, Makoto Nishihara, Shuichi Aono, Tatsunori Ikemoto, Chiharu Suzuki, Akiko Kinoshita, and Takahiro Ushida.
    • Multidisciplinary Pain Center, School of Medicine, Aichi Medical University, 21 Karimata, Nagakutecho, Aichigun, Aichi 480-1195, Japan. arainon@aichi-med-u.ac.jp
    • J Anesth. 2013 Apr 1;27(2):298-301.

    AbstractWe report on the use of pulsed radiofrequency (RF) within the plexus for the management of intractable pain in three patients with metastatic or invasive plexopathy. The patients were a 38-year-old woman with a history of breast cancer 6 years earlier whose computed tomography (CT) scans revealed a mass lesion at the infraclavicular part of the right brachial plexus, a 68-year-old man diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the right humerus invading the axillary region of the right brachial plexus, and a 67-year-old woman diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the left humerus invading the axillary region of the left brachial plexus. Ultrasound-guided pulsed RF was performed within the interscalene brachial plexus. During the follow-up period, their intractable pain was moderately controlled.

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