Publicação
Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve
| Resumo: | This case report presents an application of peripheral nerve stimulation to the median nerve to treat a patient with intractable pain due to a lipofibromatous hamartoma of the left upper extremity. Ultra high-frequency ultrasound was used to determine the boundaries of the hamartoma. The patient then underwent an ultrasound-guided implantation of 2 stimulator electrodes distal to the elbow along the median nerve with stimulation coverage achieved at 1.2 and 1.4 mA, respectively. After an uneventful procedure, the pain score immediately decreased from 9 out of 10 to less than 6 on a numeric rating scale. Two weeks after the procedure, the patient reported substantial pain relief, with an average pain level of 5 to 6 out of 10. Twelve months after implantation, the patient maintained significant pain relief, rating her average pain level as a 4 to 6 out of 10. Placement of a percutaneous peripheral nerve stimulator was safe and effective with no adverse events being reported at the 12-month follow-up. |
|---|---|
| Autores principais: | Ferreira-dos-Santos, G |
| Outros Autores: | Hurdle, M; Gupta, S; Ghazi, S; Trigg, S; Clendenen, S |
| Assunto: | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Centro Hospitalar de Lisboa Central, EPE (CHLC) |
| Idioma: | inglês |
| Origem: | Repositório do Centro Hospitalar de Lisboa Central, EPE |
| _version_ | 1865920318573379584 |
|---|---|
| author | Ferreira-dos-Santos, G |
| author2 | Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S |
| author2_role | author author author author author |
| author_facet | Ferreira-dos-Santos, G Ferreira-dos-Santos, G Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S |
| author_role | author |
| contributor_name_str_mv | Repositório da Unidade Local de Saúde São José |
| country_str | PT |
| creators_json_str | [{\"Person.name\":\"Ferreira-dos-Santos, G\"},{\"Person.name\":\"Hurdle, M\"},{\"Person.name\":\"Gupta, S\"},{\"Person.name\":\"Ghazi, S\"},{\"Person.name\":\"Trigg, S\"},{\"Person.name\":\"Clendenen, S\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório da Unidade Local de Saúde São José |
| datacite.creators.creator.creatorName.fl_str_mv | Ferreira-dos-Santos, G Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S |
| datacite.date.Accepted.fl_str_mv | 2021-03-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2023-10-13T15:04:06Z |
| datacite.date.embargoed.fl_str_mv | 2023-10-13T15:04:06Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| datacite.titles.title.fl_str_mv | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| dc.contributor.none.fl_str_mv | Repositório da Unidade Local de Saúde São José |
| dc.creator.none.fl_str_mv | Ferreira-dos-Santos, G Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S |
| dc.date.Accepted.fl_str_mv | 2021-03-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2023-10-13T15:04:06Z |
| dc.date.embargoed.fl_str_mv | 2023-10-13T15:04:06Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.17/4719 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| dc.title.fl_str_mv | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | This case report presents an application of peripheral nerve stimulation to the median nerve to treat a patient with intractable pain due to a lipofibromatous hamartoma of the left upper extremity. Ultra high-frequency ultrasound was used to determine the boundaries of the hamartoma. The patient then underwent an ultrasound-guided implantation of 2 stimulator electrodes distal to the elbow along the median nerve with stimulation coverage achieved at 1.2 and 1.4 mA, respectively. After an uneventful procedure, the pain score immediately decreased from 9 out of 10 to less than 6 on a numeric rating scale. Two weeks after the procedure, the patient reported substantial pain relief, with an average pain level of 5 to 6 out of 10. Twelve months after implantation, the patient maintained significant pain relief, rating her average pain level as a 4 to 6 out of 10. Placement of a percutaneous peripheral nerve stimulator was safe and effective with no adverse events being reported at the 12-month follow-up. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.chlc.pt/bitstreams/1948aed6-35a7-4edf-a815-b4c8c1239139/download |
| id | rchlc_b6a8211a213914fe7eb4db3a4e07d509 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.17/4719 |
| instacron_str | chlc |
| institution | Centro Hospitalar de Lisboa Central, EPE (CHLC) |
| instname_str | Centro Hospitalar de Lisboa Central, EPE (CHLC) |
| language | eng |
| network_acronym_str | rchlc |
| network_name_str | Repositório do Centro Hospitalar de Lisboa Central, EPE |
| oai_identifier_str | oai:repositorio.chlc.pt:10400.17/4719 |
| organization_str_mv | urn:organizationAcronym:chlc |
| person_str_mv | Ferreira-dos-Santos, G Hurdle, M Gupta, S Ghazi, S Trigg, S Clendenen, S |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Elsevier |
| reponame_str | Repositório do Centro Hospitalar de Lisboa Central, EPE |
| repository_id_str | urn:repositoryAcronym:rchlc |
| service_str_mv | urn:repositoryAcronym:rchlc |
| spelling | engElsevierpt_PTThis case report presents an application of peripheral nerve stimulation to the median nerve to treat a patient with intractable pain due to a lipofibromatous hamartoma of the left upper extremity. Ultra high-frequency ultrasound was used to determine the boundaries of the hamartoma. The patient then underwent an ultrasound-guided implantation of 2 stimulator electrodes distal to the elbow along the median nerve with stimulation coverage achieved at 1.2 and 1.4 mA, respectively. After an uneventful procedure, the pain score immediately decreased from 9 out of 10 to less than 6 on a numeric rating scale. Two weeks after the procedure, the patient reported substantial pain relief, with an average pain level of 5 to 6 out of 10. Twelve months after implantation, the patient maintained significant pain relief, rating her average pain level as a 4 to 6 out of 10. Placement of a percutaneous peripheral nerve stimulator was safe and effective with no adverse events being reported at the 12-month follow-up.application/pdfpt_PTUltrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median NerveFerreira-dos-Santos, GHurdle, MGupta, SGhazi, STrigg, SClendenen, SHostingInstitutionOrganizationalRepositório da Unidade Local de Saúde São Josée-mailmailto:repositorio@ulssjose.min-saude.ptrepositorio@ulssjose.min-saude.ptDOIIsPartOf10.1016/j.jhsa.2020.06.0032023-10-13T15:04:06Z2021-032021-03-01T00:00:00ZHandlehttp://hdl.handle.net/10400.17/4719http://purl.org/coar/access_right/c_abf2open accessHCC MFRHumansFemaleHamartoma* / complicationsHamartoma* / diagnostic imagingMedian Nerve / diagnostic imagingPain, Intractable* / therapyTranscutaneous Electric Nerve Stimulation*Ultrasonography, Interventional840632 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.chlc.pt/bitstreams/1948aed6-35a7-4edf-a815-b4c8c1239139/downloadThe Journal of Hand Surgery463250.e1250.e5 |
| spellingShingle | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve Ferreira-dos-Santos, G HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional Ferreira-dos-Santos, G HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| status | NEW |
| subject.fl_str_mv | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| title | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| title_full | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| title_fullStr | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| title_full_unstemmed | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| title_short | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| title_sort | Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Pain Originating From a Lipofibromatous Hamartoma of the Median Nerve |
| topic | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| topic_facet | HCC MFR Humans Female Hamartoma* / complications Hamartoma* / diagnostic imaging Median Nerve / diagnostic imaging Pain, Intractable* / therapy Transcutaneous Electric Nerve Stimulation* Ultrasonography, Interventional |
| url | http://hdl.handle.net/10400.17/4719 |
| visible | 1 |