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

Authors

  • Michael J. Dorsi M.D.,

    Corresponding author
    1. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
    • 600 N. Wolfe Street, Meyer 8-161, Baltimore, MD 21287
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  • George Lambrinos B.S.,

    1. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
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  • A. Lee Dellon M.D., Ph.D.,

    1. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
    2. Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD
    3. Dellon Institute for Peripheral Nerve Surgery, Baltimore, MD
    4. Department of Surgery, Union Memorial Hospital, Baltimore, MD
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  • Allan J. Belzberg M.D., F.R.C.S.C.

    1. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
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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 anectdotal evidence that dorsal rhizotomy is a beneficial intervention for refractory intercostal neuralgia. © 2010 Wiley-Liss, Inc. Microsurgery, 2011.

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