Abstract
Many patients may experience chronic and persistent headache after suboccipital craniectomy. Prolotherapy is a form of treatment characterized by injection of proliferant solutions to strengthen and restore old joints, cartilage ligaments and tendons. It can be added to treatment in many degenerative cases where blood circulation is impaired.A 43-year-old female patient had undergone a suboccipital craniectomy operation 8 months ago with a diagnosis of right cerebellar mass. The patient was admitted to the neurosurgery outpatient clinic for nausea, vomiting and pain. The patient was injected (15% dextrose 20 cc + 2% lidocaine 1cc). 4 sessions of the patient's sessions were performed in 3 week intervals. Pain pill was evaluated with visual analog scale. The pain severity decreased by 50% after the first prolotherapy session, visual analog scale severity was zero after the 4.session. No complications were seen.Prolotherapy can also be applied repetitive back surgery operations with painful conditions.
Keywords
Project Number
yok
References
- 1. Pekel, F,. Aydın, S,. Abuzayed, B,. Küçükyürük, B. (2011). Kraniotomi ve Kraniektomi sonrası görülen başağrısının karşılaştırılması: klinik çalışma. Türk Nöroşirürji Derneği, 25. Bilimsel Kongresi, Elektronik Poster Sunumlar. Türk Nöroşirürji Dergisi, 21(121).
- 2. Mordhorst, C., Latz, B., Kerz, T., Wisser, G., Schmidt, A., Schneider, A., ... & Engelhard, K. (2010). Prospective assessment of postoperative pain after craniotomy. Journal of neurosurgical anesthesiology, 22(3), 202-206.
- 3. Pradhan, L., Cai, X., Wu, S., Andersen, N. D., Martin, M., Malek, J., et al. (2011). Gene expression of pro-inflammatory cytokines and neuropeptides in diabetic wound healing. Journal of Surgical Research, 167(2), 336-342.
- 4. Distel, L. M., & Best, T. M. (2011). Prolotherapy: a clinical review of its role in treating chronic musculoskeletal pain. PM&R, 3, S78-S81.
- 5. Hauser, R. A., Lackner, J. B., Steilen-Matias, D., & Harris, D. K. (2016). A systematic review of dextrose prolotherapy for chronic musculoskeletal pain. Clinical medicine insights: arthritis and musculoskeletal disorders, 9, CMAMD-S39160.
- 6. Canbolat, Ç,. Güngör, A,. Pamir, N. M. (2020). Nöroşirürjide Baş ve Boyun Cilt İnsizyonları Head and Neck Skin Incisions in Neurosurgery .Türk Nöroşir Derg 30(1), 1-8.
- 7. Saragiotto, B. T., Machado, G. C., Ferreira, M. L., Pinheiro, M. B., Shaheed, C. A., Maher, C. G. (2016). Paracetamol for low back pain. Cochrane Database of Systematic Reviews, 7(6).
- 8. Jonely, H., Brismée, J. M., Desai, M. J., & Reoli, R. (2015). Chronic sacroiliac joint and pelvic girdle dysfunction in a 35-year-old nulliparous woman successfully managed with multimodal and multidisciplinary approach. Journal of Manual & Manipulative Therapy, 23(1), 20-26.
- 9. Bertrand, H., Reeves, K. D., Bennett, C. J., Bicknell, S., & Cheng, A. L. (2016). Dextrose prolotherapy versus control injections in painful rotator cuff tendinopathy. Archives of physical medicine and rehabilitation, 97(1), 17-25.
- 10. Sanderson, L. M., & Bryant, A. (2015). Effectiveness and safety of prolotherapy injections for management of lower limb tendinopathy and fasciopathy: a systematic review. Journal of foot and ankle research, 8(1), 1-15.
- 11. Klein, R,. Michael, J. Y., Christopher, D., Sandi, P., Mark, L. S. (1989). Proliferant injections for Low back Pain: Histological changes of injected ligments and Lumbal spine mobility before and after treatment’ The Journal of Neurologycal and orthopedic medicine and surgery, 10(2), 123-126,
- 12. Lautenbacher, S., Kunz, M., Strate, P., Nielsen, J., & Arendt-Nielsen, L. (2005). Age effects on pain thresholds, temporal summation and spatial summation of heat and pressure pain. Pain, 115(3), 410-418.
- 13. Miller, C., & Newton, S. E. (2006). Pain perception and expression: the influence of gender, personal self-efficacy, and lifespan socialization. Pain Management Nursing, 7(4), 148-152.
- 14. Solmaz, İ., Akpancar, S., Örsçelik, A., Yener-Karasimav, Ö., & Gül, D. (2019). Dextrose injections for failed back surgery syndrome: a consecutive case series. European Spine Journal, 28(7), 1610-1617.
- 15. Pradhan, L., Cai, X., Wu, S., Andersen, N. D., Martin, M., Malek, J., ... & LoGerfo, F. W. (2011). Gene expression of pro-inflammatory cytokines and neuropeptides in diabetic wound healing. Journal of Surgical Research, 167(2), 336-342.
- 16. Mordhorst, C., Latz, B., Kerz, T., Wisser, G., Schmidt, A., Schneider, A., ... & Engelhard, K. (2010). Prospective assessment of postoperative pain after craniotomy. Journal of neurosurgical anesthesiology, 22(3), 202-206.
Abstract
Suboksipital kraniektomiden sonra birçok hastada kronik ve inatçı başağrısı görülebilir. Proloterapi zayıflamış eski işlevini kaybetmiş eklemleri, kıkırdakları ligamentleri ve tendonları güçlendirmek ve tekrar eski haline getirmek için proliferant solüsyonların enjeksiyonu ile karakterize bir tedavi şeklidir. Kan dolaşımının bozulduğu pek çok dejeneratif vakada tedaviye eklenebilir. 43 yaşında bayan hasta, 8 ay önce sağ serebellar kitle tanısı ile suboksipital kraniektomi operasyonu geçirmiş. Hasta beyin cerrahi polikliniğine bulantı, kusma ve ağrı nedeniyle başvurdu. Hastaya (%15 dekstroz 20 cc+%2 lik lidokain 1cc) enjeksiyonu yapıldı. Hastanın seansları 3 hafta aralıklarla totalde 4 seans yapıldı. Ağrı skalası vizual analog skala ile değerlendirildi. Hastanın ilk proloterapi seansı sonrası ağrı şiddeti %50 azaldı, 4. Seans sonrası vizual analog skala şiddeti sıfırdı. Herhangi bir komplikasyon görülmedi. Proloterapi tekrarlayan bel cerrahisi operasyonları sonrasında da geçmeyen ağrılı durumlar da uygulanabilir.
Keywords
Supporting Institution
yok
Project Number
yok
References
- 1. Pekel, F,. Aydın, S,. Abuzayed, B,. Küçükyürük, B. (2011). Kraniotomi ve Kraniektomi sonrası görülen başağrısının karşılaştırılması: klinik çalışma. Türk Nöroşirürji Derneği, 25. Bilimsel Kongresi, Elektronik Poster Sunumlar. Türk Nöroşirürji Dergisi, 21(121).
- 2. Mordhorst, C., Latz, B., Kerz, T., Wisser, G., Schmidt, A., Schneider, A., ... & Engelhard, K. (2010). Prospective assessment of postoperative pain after craniotomy. Journal of neurosurgical anesthesiology, 22(3), 202-206.
- 3. Pradhan, L., Cai, X., Wu, S., Andersen, N. D., Martin, M., Malek, J., et al. (2011). Gene expression of pro-inflammatory cytokines and neuropeptides in diabetic wound healing. Journal of Surgical Research, 167(2), 336-342.
- 4. Distel, L. M., & Best, T. M. (2011). Prolotherapy: a clinical review of its role in treating chronic musculoskeletal pain. PM&R, 3, S78-S81.
- 5. Hauser, R. A., Lackner, J. B., Steilen-Matias, D., & Harris, D. K. (2016). A systematic review of dextrose prolotherapy for chronic musculoskeletal pain. Clinical medicine insights: arthritis and musculoskeletal disorders, 9, CMAMD-S39160.
- 6. Canbolat, Ç,. Güngör, A,. Pamir, N. M. (2020). Nöroşirürjide Baş ve Boyun Cilt İnsizyonları Head and Neck Skin Incisions in Neurosurgery .Türk Nöroşir Derg 30(1), 1-8.
- 7. Saragiotto, B. T., Machado, G. C., Ferreira, M. L., Pinheiro, M. B., Shaheed, C. A., Maher, C. G. (2016). Paracetamol for low back pain. Cochrane Database of Systematic Reviews, 7(6).
- 8. Jonely, H., Brismée, J. M., Desai, M. J., & Reoli, R. (2015). Chronic sacroiliac joint and pelvic girdle dysfunction in a 35-year-old nulliparous woman successfully managed with multimodal and multidisciplinary approach. Journal of Manual & Manipulative Therapy, 23(1), 20-26.
- 9. Bertrand, H., Reeves, K. D., Bennett, C. J., Bicknell, S., & Cheng, A. L. (2016). Dextrose prolotherapy versus control injections in painful rotator cuff tendinopathy. Archives of physical medicine and rehabilitation, 97(1), 17-25.
- 10. Sanderson, L. M., & Bryant, A. (2015). Effectiveness and safety of prolotherapy injections for management of lower limb tendinopathy and fasciopathy: a systematic review. Journal of foot and ankle research, 8(1), 1-15.
- 11. Klein, R,. Michael, J. Y., Christopher, D., Sandi, P., Mark, L. S. (1989). Proliferant injections for Low back Pain: Histological changes of injected ligments and Lumbal spine mobility before and after treatment’ The Journal of Neurologycal and orthopedic medicine and surgery, 10(2), 123-126,
- 12. Lautenbacher, S., Kunz, M., Strate, P., Nielsen, J., & Arendt-Nielsen, L. (2005). Age effects on pain thresholds, temporal summation and spatial summation of heat and pressure pain. Pain, 115(3), 410-418.
- 13. Miller, C., & Newton, S. E. (2006). Pain perception and expression: the influence of gender, personal self-efficacy, and lifespan socialization. Pain Management Nursing, 7(4), 148-152.
- 14. Solmaz, İ., Akpancar, S., Örsçelik, A., Yener-Karasimav, Ö., & Gül, D. (2019). Dextrose injections for failed back surgery syndrome: a consecutive case series. European Spine Journal, 28(7), 1610-1617.
- 15. Pradhan, L., Cai, X., Wu, S., Andersen, N. D., Martin, M., Malek, J., ... & LoGerfo, F. W. (2011). Gene expression of pro-inflammatory cytokines and neuropeptides in diabetic wound healing. Journal of Surgical Research, 167(2), 336-342.
- 16. Mordhorst, C., Latz, B., Kerz, T., Wisser, G., Schmidt, A., Schneider, A., ... & Engelhard, K. (2010). Prospective assessment of postoperative pain after craniotomy. Journal of neurosurgical anesthesiology, 22(3), 202-206.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Project Number | yok |
| Publication Date | May 29, 2021 |
| Published in Issue | Year 2021 Volume: 5 Issue: 2 |
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