Dorsal Root Ganglion Stimulation

Potter, Steven T.; Welch, Sean; Tata, Faye; Probert, Seth; Nagpal, Ameet S.

doi:10.1016/j.pmr.2022.02.005

Cited by 7 publications

(7 citation statements)

References 44 publications

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“…dcSCS and DRG-S are an option to treat multiple neuropathic pain processes, with randomized controlled trial data supporting their use in CRPS. 1,2–5 Literature discusses evidence for DRG stimulation to treat trunk/sacral/lower extremity pain, 1–3 discogenic back pain, 1–3 painful diabetic neuropathy, 1–3 persistent postsurgical pain (common procedures include joint replacement, amputation, and inguinal hernia repair), 1–3 postherpetic neuralgia, 4 focal neuropathy, 1,11 and polyneuropathy. 1 Most evidence in favor of DRG-S for these disease states is from case reports and case series.…”

Section: Discussionmentioning

confidence: 99%

New-Onset Tinnitus After Dorsal Root Ganglion Stimulator Implantation: A Case Report

Pressler,

Brenner,

Kohan

et al. 2024

A&A Practice

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Dorsal column (dcSCS) and dorsal root ganglion stimulation (DRG-S) complications are similar, typically related to placement and device failure. We present the first case of tinnitus after DRG-S implantation. The patient presented with complex regional pain syndrome (CRPS) type 2. After previous failed treatments, she had a lumbosacral DRG-S trial, which provided relief; however, she briefly noted ringing in her ears. After permanent implantation, she reported persistent, intolerable left-sided tinnitus. Tinnitus can be modulated by secondary somatosensory inputs to the cochlear nucleus from the dcSCS. Therefore, lumbosacral DRG-S stimulating distal sensory neurons leading to tinnitus is a feasible complication.

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Section: Discussionmentioning

confidence: 99%

New-Onset Tinnitus After Dorsal Root Ganglion Stimulator Implantation: A Case Report

Pressler,

Brenner,

Kohan

et al. 2024

A&A Practice

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“…The high-density cluster of sensory information carries painful signals from the periphery to the brain via the spinal cord, where it is further processed [ 7 , 15 ]. SCS has had success in treating central neuropathic pain; however, it has been less reliable in focal or peripheral pain lesions, such as pain localized to the trunk, groin or foot [ 13 ]. With SCS, electrode leads project over the epidural space and often, non-painful areas are prone to unnecessary stimulation, and, consequently, patients complain of uncomfortable paresthesia [ 7 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…SCS has had success in treating central neuropathic pain; however, it has been less reliable in focal or peripheral pain lesions, such as pain localized to the trunk, groin or foot [ 13 ]. With SCS, electrode leads project over the epidural space and often, non-painful areas are prone to unnecessary stimulation, and, consequently, patients complain of uncomfortable paresthesia [ 7 , 13 ]. In DRG stimulation, a more selective stimulation allows for coverage of focal painful lesions, especially those in a sub-dermatomal distribution [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Spinal cord stimulation (SCS) has had remarkable success in providing pain relief for treatment-refractory AP secondary to CP [5,8,[10][11][12]. Additionally, dorsal root ganglion (DRG) stimulation has also gained increased traction among providers given its more precise pain coverage; however, DRG stimulation has been utilized much less than its SCS counterpart, and, notably, there has not been a case utilizing DRG stimulation for CP-related AP [7,10,13]. Therefore, we present a patient with CP-related AP who experienced significant pain relief through DRG stimulation following a celiac plexus block (CPB).…”

Section: Introductionmentioning

confidence: 99%

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Successful Dorsal Root Ganglion Stimulation for Chronic Pancreatitis: A Case Report

Shah¹,

Khosla²

2022

Cureus

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Chronic pancreatitis represents an inflammatory condition occurring from repetitive pancreatic inflammation episodes ultimately causing patients intractable pain alongside pancreatic insufficiency and as a result, reduced quality of life. In addition to alcohol and smoking cessation, patients with chronic pancreatitis are treated conservatively with anti-depressants, anti-convulsant and analgesic medications including paracetamol and celecoxib -with limited success. Alternative to surgical resection, patients can opt for endoscopic treatment options including sphincterotomy or removal of calculi which have shown limited success. Celiac plexus blocks have had positive outcomes as well, however, are not long-lasting and carry significant risks, such as gastroparesis or organ damage. Evidence has shown alterations in the peripheral and central nervous system which causes these patients to often experience dysfunctional and neuropathic pain. The advent of this knowledge has introduced neuromodulation into the field with successful cases of spinal cord stimulation treating the pain associated with chronic pancreatitis. Dorsal root ganglion stimulation is similarly based upon the gate theory of pain but with more precision as it strictly targets the dorsal root ganglion. There have been no cases reported in the literature of this form of stimulation in treating chronic pancreatitis. We present a case of a patient with chronic pancreatitis who obtained 80% abdominal pain relief for two years after undergoing dorsal root ganglion stimulation.

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“…Diese kann bei therapierefraktärem Schmerz in Erwägung gezogen werden, jedoch findet man in der Literatur nur limitierte Daten mit einem anzunehmenden Bias. Neue, unabhängige Daten sind wünschenswert [ 78 , 79 ].…”

Section: Therapie Der Diabetischen Polyneuropathie (Pnp)unclassified

Diabetische Neuropathie und diabetischer Fuß (Update 2023)

Köhler

Eichner

Abrahamian³

et al. 2023

Wien Klin Wochenschr

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ZusammenfassungDer Begriff der diabetischen Neuropathie ist eine Sammelbezeichnung für Erkrankungen des peripheren Nervensystems die als Spätkomplikation des Diabetes mellitus auftreten.Die Leitlinienempfehlungen beschreiben die klinischen Symptome und diagnostischen Möglichkeiten, sowie die Therapiemaßnahmen insbesondere bei der schmerzhaften Form der sensomotorischen Neuropathie, einschließlich der komplexen Problematik des diabetischen Fußes.

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Dorsal Root Ganglion Stimulation

Cited by 7 publications

References 44 publications

New-Onset Tinnitus After Dorsal Root Ganglion Stimulator Implantation: A Case Report

New-Onset Tinnitus After Dorsal Root Ganglion Stimulator Implantation: A Case Report

Successful Dorsal Root Ganglion Stimulation for Chronic Pancreatitis: A Case Report

Diabetische Neuropathie und diabetischer Fuß (Update 2023)

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