Abstract

Background

Contralateral C7 nerve transfer is a new surgical treatment for stroke patients with unilateral upper extremity paralysis, but neuropathic pain in the nonparalyzed side is the common complication after surgery. We report a stroke patient with neuropathic pain after C7 nerve transfer who received combination treatment of transcutaneous electrical nerve stimulation(TENS) and pregabalin.

Case Summary

A 53-year old, 6 months post-stroke patient with right hemiplegia after contralateral C7 nerve transfer was admitted in our department with a significant neuropathic pain in his left upper extremity. The treatment of pregabalin and TENS were used for patient. The visual analogue scale(VAS), medical outcomes study sleep scale(MOS-SS) and hospital anxiety and depression scale(HADS) were assessed after 1 months treatment. After treatment, the pain of his nonparalyzed upper extremity was relieved, the sleeping quality and the anxiety and depression were improved in patient.

Conclusion

This report suggests that the combination of pregabalin and TENS have prominent clinical effects on neuropathic pain of nonparalyzed side in stroke patients after contralateral C7 nerve transfer.

中文翻译：

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普瑞巴林联合经皮神经电刺激治疗脑卒中患者对侧 C7 神经转移后神经性疼痛一例报告

摘要

背景

对侧C7神经移植术是治疗脑卒中单侧上肢瘫痪的新型手术方式，但非瘫痪侧神经性疼痛是术后常见并发症。我们报告了一名接受经皮神经电刺激 (TENS) 和普瑞巴林联合治疗的 C7 神经转移后出现神经性疼痛的中风患者。

案例总结

一名 53 岁、6 个月的中风后患者在对侧 C7 神经转移后出现右侧偏瘫，因左上肢明显的神经性疼痛而入院。患者使用普瑞巴林和TENS治疗。治疗1个月后评估视觉模拟量表（VAS）、医学结果研究睡眠量表（MOS-SS）和医院焦虑抑郁量表（HADS）。治疗后，患者未瘫痪的上肢疼痛减轻，睡眠质量改善，焦虑抑郁情绪得到改善。

结论

本报告提示普瑞巴林联合TENS对脑卒中患者对侧C7神经转移后非瘫痪侧神经性疼痛具有显着的临床疗效。