{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T06:00:43Z","timestamp":1668146443017},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Background:<\/jats:title>Cervical nerve root avulsion is a well-documented result of high-velocity motor vehicle accidents (MVAs). In up to 21% of cases, preganglionic cervical root avulsion can result in a complex regional pain syndrome (CRPS) impacting the quality of life for patients already impaired by motor, sensory, and autonomic dysfunction. The optimal treatment strategies include repeated stellate ganglion blocks (SBGs).<\/jats:p><\/jats:sec>Case Description:<\/jats:title>A 43-year-old male sustained a high-velocity MVA resulting in the left C8 nerve root avulsion. This resulted in weakness in the C8 distribution, tactile allodynia, and dysesthesias. The magnetic resonance imaging demonstrated an abnormal signal ventral to the C8\u2013T1 level. As the patient was not considered a candidate for surgical intervention secondary to the attendant brachial plexus injury, a C7\u2013C8 epidural steroid injection was performed; this did not provide improvement. Before placing a spinal cord stimulator, the patient underwent a series of six ultrasound-guided SBGs performed 2 weeks apart; there was 75% improvement in pain and strength. Six years later, the patient continues to do well while receiving SBGs 4 times a year.<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>A preganglionic cervical nerve root avulsion should not be a contraindication for a stellate ganglion block in a patient with established CRPS.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_318_2020","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T06:33:55Z","timestamp":1598682835000},"page":"262","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of CRPS secondary to preganglionic C8 nerve root avulsion: A case report and literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Ramsis","family":"Ghaly","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, University of Chicago at Illinois, Advocate Illinois Masonic Medical Center, Chicago,"},{"name":"Department of Neurosurgery, Ghaly Neurosurgical Associates, Aurora, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armen","family":"Haroutunian","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Chicago at Illinois, Advocate Illinois Masonic Medical Center, Chicago,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gevorg","family":"Grigoryan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Chicago at Illinois, Advocate Illinois Masonic Medical Center, Chicago,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica A.","family":"Patricoski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ghaly Neurosurgical Associates, Aurora, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D.","family":"Candido","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Chicago at Illinois, Advocate Illinois Masonic Medical Center, Chicago,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa Nick","family":"Knezevic","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Chicago at Illinois, Advocate Illinois Masonic Medical Center, Chicago,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,8,29]]},"reference":[{"key":"10.25259\/SNI_318_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1097\/01.smj.0000233257.76957.b2","article-title":"Efficacy of stellate ganglion blockade for the management of Type 1 complex regional pain syndrome","volume":"99","author":"Ackerman","year":"2006","journal-title":"South Med J"},{"key":"10.25259\/SNI_318_2020\/ref-3","doi-asserted-by":"crossref","first-page":"534","DOI":"10.4103\/joacp.JOACP_326_16","article-title":"A study of the efficacy of stellate ganglion blocks in complex regional pain syndromes of the upper body","volume":"33","author":"Datta","year":"2017","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"10.25259\/SNI_318_2020\/ref-4","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.4103\/0028-3886.250699","article-title":"Treatment of neuropathic pain after peripheral nerve and brachial plexus traumatic injury","volume":"67","author":"Lovaglio","year":"2019","journal-title":"Neurol India"},{"key":"10.25259\/SNI_318_2020\/ref-5","doi-asserted-by":"crossref","first-page":"489","DOI":"10.3988\/jcn.2016.12.4.489","article-title":"Effect of co-morbid conditions on persistent neuropathic pain after brachial plexus injury in adult patients","volume":"12","author":"Subedi","year":"2016","journal-title":"J Clin Neurol"},{"key":"10.25259\/SNI_318_2020\/ref-6","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/j.1526-4637.2011.01285.x","article-title":"Management of complex regional pain syndrome Type I in upper extremity-evaluation of continuous stellate ganglion block and continuous infraclavicular brachial plexus block: A pilot study","volume":"13","author":"Toshniwal","year":"2012","journal-title":"Pain Med"},{"key":"10.25259\/SNI_318_2020\/ref-7","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1002\/micr.22148","article-title":"Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer","volume":"34","author":"Tu","year":"2014","journal-title":"Microsurgery"}],"container-title":["Surgical Neurology 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