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Ultrasound Guided Nerve Hydrodissection for Radiation-Induced Brachial Plexopathy: A Case Report

摘要


Radiation-induced brachial plexopathy (RIBP) is a neurologic disease of the peripheral nervous system secondary to radiation therapy, which is used to treat cancer of the head, neck, upper trunk, and axilla. RIBP is reported to induce a combination of numbness, paresthesia, pain, and weakness. Currently, there is no definitive treatment to cease the progression of RIBP or improve neurologic functions. There are pharmacological, non-pharmacological, and surgical remedies shown to ameliorate the progression of RIBP. These conventional therapies have been reported with low efficacy and undesirable side effects. A novel ultrasound-guided nerve hydrodissection technique has been extensively used for chronic pain management, and this case report suggests an ultrasound-guided perineural hydrodissection technique is viable to treat RIBP deficits secondary to radiation therapy.

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