Microsurgical DREZotomy for treatment of intractable central pain in patient with spinal cord injury.

Zee Ihn Lee; Seong Ho Kim; Sang Ho Ahn; Sung Ho Jang

doi:10.12701/yujm.2002.19.1.49

Original Article Microsurgical DREZotomy for treatment of intractable central pain in patient with spinal cord injury.: Zee Ihn Lee, Seong Ho Kim, Sang Ho Ahn, Sung Ho Jang; Journal of Yeungnam Medical Science 2002;19:49.
DOI: https://doi.org/10.12701/yujm.2002.19.1.49
Published online: June 30, 2002

¹Department of Rehabilitation Medicine, college of medicine, Yeungnam University, Daegu, Korea.
²Department of Neurosurgery, college of medicine, Yeungnam University, Daegu, Korea.

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Abstract

The central pain in patient with spinal cord injury is a common and disabling sequelae. The microsurgical DREZ(Dorsal Root Entry Zone)otomy is a surgical procedure effective in the treatment of intractable pain and spasticity in spinal cord injured patients. It consists of a microsurgical lesions performed in the ventrolateral region of the dorsal root entry zone at the selected levels. This report presents one case with incomplete paraplegia patient, who had chronic central neuropathic pain ineffective to many conservative treatments in bilateral T10 and right T11 segments and both lower extremities, is relieved from the pain after microsurgical DREZotomy. In conclusion, microsurgical DREZotomy is one method of effective treatments for spinal cord injured patients with intractable central neuropathic pain.

Keywords: Central pain;Spinal cord injury;Microsurgical DREZotomy

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Comparative outcomes of microsurgical dorsal root entry zone lesioning (DREZotomy) for intractable neuropathic pain in spinal cord and cauda equina injuries
Bunpot Sitthinamsuwan, Tanawat Ounahachok, Sawanee Pumseenil, Sarun Nunta-aree
Neurosurgical Review.2025;[Epub] CrossRef

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