• A&A practice · May 2023

    Case Reports

    Peripheral Nerve Stimulation for Chronic Intractable Neuropathic Pain Following a Brachial Plexus Avulsion Injury: A Case Report.

    • Quinn Tate, Robert Pagan-Rosado, Alejandro Hallo-Carrasco, and HurdleMark Friedrich BMFBDepartment of Pain Medicine, Mayo Clinic, Jacksonville, Florida..
    • From the Department of Physical Medicine and Rehabilitation, Penn Medicine, Philadelphia, Pennsylvania.
    • A A Pract. 2023 May 1; 17 (5): e01681e01681.

    AbstractBrachial plexus avulsion injuries result in permanent motor and sensory deficits, leading to debilitating symptoms. We report the case of a 25-year-old man with chronic pain following right-sided C5-T1 nerve root avulsion without evidence of peripheral nerve injury. His pain was recalcitrant to medical and neurosurgical interventions. However, he experienced substantial (>70%) pain relief with peripheral nerve stimulation targeting the median nerve. These results agree with data suggesting collateral sprouting of sensory nerves occurs following a brachial plexus injury. Further study is needed if we are to understand the mechanisms of the peripheral nerve stimulator as a treatment option.Copyright © 2023 International Anesthesia Research Society.

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