Pulsed radiofrequency applied to the dorsal root ganglia for treatment of post-stroke complex regional pain syndrome: A case series

J Clin Anesth. 2016 Sep:33:192-7. doi: 10.1016/j.jclinane.2016.03.059. Epub 2016 May 1.

Abstract

Study objective: Complex regional pain syndrome is a painful and disabling syndrome where the patient presents with neuropathic pain, edema, or vasomotor or pseudomotor abnormalities that are often refractory to treatment. Complex regional pain syndrome type 1 may occurs in stroke patients. Radiofrequency is a therapeutic modality that has been used for years for diseases associated with neuropathic pain.

Design: Case series report.

Setting: Selcuk University Hospital.

Patients: A 69-year-old woman and a 48-year-old women who suffered post-stroke complex regional pain syndrome type 1.

Interventions: Pulsed radiofrequency current application to the cervical dorsal root ganglia.

Measurements: Pain reduction.

Main results: The patients had complete resolution of their symptoms, which was maintained at 10 and 5 months of follow-up.

Conclusions: These cases illustrates that pulsed radiofrequency applied to cervical dorsal root ganglia might play a significant role in multi-modal approach of complex regional pain syndrome type 1 management after stroke. Further randomized, controlled studies are needed to support this argument.

Keywords: Complex regional pain syndrome; Neuropathic pain; Pulsed radiofrequency; Stroke.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Edema / etiology
  • Edema / therapy
  • Female
  • Ganglia, Spinal* / diagnostic imaging
  • Hemiplegia / complications
  • Humans
  • Middle Aged
  • Neuralgia / therapy
  • Pulsed Radiofrequency Treatment / methods*
  • Reflex Sympathetic Dystrophy / etiology*
  • Reflex Sympathetic Dystrophy / therapy*
  • Stroke / complications*
  • Stroke Rehabilitation
  • Treatment Outcome