Dorsal rhizotomy for treatment of bilateral intercostal neuralgia following augmentation mammaplasty: case report and review of the literature.

Dorsi, Michael J; Lambrinos, George; Dellon, A Lee; Belzberg, Allan J · Microsurgery · 2011

case_report · Level V

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Abstract

Intercostal neuralgia may develop following breast augmentation. The authors describe a woman who suffered 2 years of severe pain associated with cutaneous hypaesthesia in a T3-T5 distribution. Serial, placebo-controlled T3-T5 dorsal root nerve blocks provided temporary pain relief. The patient experienced immediate and lasting pain relief (34 months) following bilateral T3-T5 dorsal rhizotomies. This case provides anecdotal evidence that dorsal rhizotomy is a beneficial intervention for refractory intercostal neuralgia.

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