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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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Brainstem cavernous malformation (CCM) – relevance of postoperative neuropathic pain sensations

Hirnstamm-Kavernome – Relevanz postoperativer neuropathischer Schmerzen

Meeting Abstract

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  • presenting/speaker Annika Herten - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Dino Vitali Saban - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Steffen Rauscher - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Ramazan Jabbarli - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Karsten Henning Wrede - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Ulrich Sure - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland
  • Philipp Dammann - Universitätsklinikum Essen, Klinik für Neurochirurgie, Essen, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV157

doi: 10.3205/20dgnc155, urn:nbn:de:0183-20dgnc1550

Veröffentlicht: 26. Juni 2020

© 2020 Herten et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: To estimate postoperative neuropathic pain sensations in patients with surgically treated brainstem cavernous malformation (CCM).

Methods: 87 cases of brainstem cavernoma who were treated surgically between 2008 and 2018 were observed for the occurrence of neuropathic pain. Relevance of CCM location, postoperative complications, duration of hospitalization and influence on functional outcome was evaluated. Descriptive statistical analysis was performed.

Results: 19 patients suffered from neuropathic pain sensations like dysesthesia and paresthesia. Typically one limb or half of the body were involved. In our cohort, occurrence of neuropathic pain was not correlated with specific brainstem location (thalamus, mesencephalon, pons, medulla oblongata). Averaged extend of pain, measured by visual analog scale (VAS), was 4- 5 points and ranged from 2 to 7 points. Duration of hospitalization, financial effort and occurrence of other complications did not correlate with neuropathic pain sensations. Neuropathic pain tends to evoke a worse functional outcome. Furthermore, health related quality of life (HRQOL) is reduced compared to normal population control group, in particular, as expectable, in the subdomain of pain (p<0.05).

Conclusion: Surgical therapy of a brainstem CCM can lead to HRQOL decreasing pain sensations. Pain fibers may be involved at multiple potential lesion sites along the nociceptive pathways. Patients have to be aware of this and postoperative specific treatment should be anticipated early.