• Pain · Nov 2021

    Case Reports

    Dorsal root ganglion stimulation for treatment of central post-stroke pain in the lower extremity following medullary infarction.

    • Michael Kretzschmar and Marco Reining.
    • SRH Wald-Klinikum Gera, Clinic of Pain Medicine and Palliative Care, Gera, Germany.
    • Pain. 2021 Nov 1; 162 (11): 268226852682-2685.

    AbstractWe report a case of relief in central poststroke pain of the lower extremity by stimulation of the dorsal root ganglion (DRG). Central poststroke pain is a poorly understood and even more poorly managed condition that can greatly impact the quality of life. To the best of our knowledge, this investigation is the first to describe the successful treatment of previously intractable chronic pain caused by stroke using DRG stimulation. Noting the anatomical structures and the physiological function, the efficacy of DRG stimulation in central poststroke pain could be explained in a neurophysiological manner. This clinical observation successfully builds on the existing understanding around the pathophysiology of central pain and offers the possibility of nondrug therapy for the treatment of this often refractory chronic pain syndrome.Copyright © 2021 International Association for the Study of Pain.

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