Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion: A Comprehensive Literature Review
Axumawi Gebreyohanes, Aminul I. Ahmed, David Choi
Abstract
Dorsal root entry zone (DREZ) lesioning is a neurosurgical procedure that aims to relieve severe neuropathic pain in patients with brachial plexus avulsion by selectively destroying nociceptive neural structures in the posterior cervical spinal cord. Since the introduction of the procedure over 4 decades ago, the DREZ lesioning technique has undergone numerous modifications, with a variety of center- and surgeon-dependent technical differences and patient outcomes. We have reviewed the literature to discuss reported methods of DREZ lesioning and outcomes.
Topics & Concepts
MedicineDorsumBrachial plexusSpinal cordAvulsionNerve rootNeuropathic painSurgeryAnesthesiaAnatomyPsychiatryNerve Injury and RehabilitationAnesthesia and Pain ManagementPeripheral Nerve Disorders