Very early phantom limb pain following amputation of a lower extremity: Case report
Keywords:
Phantom limb, Analgesia, Pain, Postoperative Chronic pain, Amputation
Abstract
This is a case of a patient with very early occurrence (18 h) of phantom limb pain (PLP) following amputation of a lower extremity. The clinical data prior to the event, the pathophysiology, the clinical manifestations and the treatment of the phantom limb pain are described. A literature review on the current status of the PLP etiology and any analgesia interventions that may control its occurrence and intensity was performed and a description is given of the timely interventions affecting the outcome.
References
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2. Vaquerizo A. Postamputation pain. Rev Soc Esp Dolor. 2000;7 Supl 11:60-77.
3. Nikolajsen L, Jensen TS. Phantom limb pain. Br J Anaesth. 2001;87:107-16.
4. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: Risk factors and prevention. Lancet. 2006;367:1618-25.
5. Shanthanna H, Huilgol M, Manivackam VK. Early and effective use of ketamine for treatment of phantom limb pain. Indian J Anaesth. 2010;54:157-9.
6. Jaeger H, Maier C. Calcitonin in phantom limb pain: A double blind study. Pain. 1992;48:21-7.
7. Nikolajsen L, Ilkjaer S, Kroner K, Christensen JH, Jensen TS. The influence of preamputation pain on postamputation stump and phantom pain. Pain. 1997;72:393-405.
8. Hanley MA, Jensen MP, Smith DG, Ehde DM, Edwards WT, Robinson LR. Preamputation pain and acute pain predict chronic pain after lower extremity amputation. J Pain. 2007;8:102-9.
9. Karanikolas M, Aretha D, Tsolakis I, Monantera G, Kiekkas P, Papadoulas S, et al. Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence, and frequency: A prospective, randomized, clinical trial. Anesthesiology. 2011;114:1144-54.
10. Kooijman CM, Dijkstra PU, Geertzen JH, Elzinga A, van der Schans CP. Phantom pain and phantom sensations in upper limb amputees: An epidemiological study. Pain. 2000;87: 33-1.
11. Cadavid A, Mayungo T. A very early phantom limb pain (PLP) after lower extremity amputation. A case presentation. Benzon Symposium No. 57, Acute Pain-Pathophysiology and Risk Factors for Chronification. October 4-7, 2010, p 49. Copenhagen, Denmark, consultado 7 Mayo 2013. Abstract disponible en: www.benzon-foundation.dk/sites/default/files/files/s57-abs tracts.pdf
12. Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth. 2008;101:77-86.
13. Flor H. Phantom-limb pain: Characteristics, causes, and treatment. Lancet Neurol. 2002;1:182-9.
14. Ruscheweyh R, Wilder-Smith O, Drdla R, Liu XG, Sandkùhler J. Long-term potentiation in spinal nociceptive pathways as a novel target for pain therapy. Mol Pain. 2011;7:20.
15. Van den Broeke EN, van Rijn CM, Biurrun Manresa JA, Andersen OK, Arendt-Nielsen L, Wilder-Smith OH. Neurophysiological correlates of nociceptive heterosynaptic long-term potentiation in humans. J Neurophysiol. 2010;103:2107-13.
16. Drdla R, Sandkühler J. Long-term potentiation at C-fibre synapses by low-level presynaptic activity in vivo. Mol Pain. 2008;4:18.
17. Ikeda H, Stark J, Fischer H, Wagner M, Drdla R, Jäger T, et al. Synaptic amplifier of inflammatory pain in the spinal dorsal horn. Science. 2006;312:1659-62.
18. Ypsilantis E, Tang TY. Pre-emptive analgesia for chronic limb pain after amputation for peripheral vascular disease: A systematic review. Ann Vasc Surg. 2010;24:1139-46.
19. Tsuneyosi I, Kanmura Y, Hidaka T, Yoshimura N. Beneficial effect of ketamine hydrochloride in phantom limb pain: Report of a case. J Anesth. 1997;11:309-10.
20. Hocking G, Cousins M. Ketamine in chronic pain management: An evidence-based review. Anesth Analg. 2003;97:1730-9.
21. Eichenberger U, Neff F, Sveticic G, Bjorgo S, Petersen-Felix S, Arendt-Nielsen L, et al. Chronic phantom limb pain: The effects of calcitonin, ketamine, and their combination on pain and sensory thresholds. Anesth Analg. 2008;106: 1265-73.
22. Klein T, Magerl W, Nickel T, Hopf HC, Sandkühler J, Treede RD. Effects of the NMDA-receptor antagonist ketamine on perceptual correlates of long-term potentiation within the nociceptive system. Neuropharmacology. 2007;52:655-61.
23. Florez S, Leon M, Torres M, Reyes F, Serpa J, Ríos A. Manejo farmacológico del dolor neuropático. Rev Colomb Anestesiol. 2009;37:356-72.
24. Finnerup N, Sindrup S, Jensen T. The evidence for pharmacological treatment of neuropathic pain. Pain. 2010;150:573-81.
2. Vaquerizo A. Postamputation pain. Rev Soc Esp Dolor. 2000;7 Supl 11:60-77.
3. Nikolajsen L, Jensen TS. Phantom limb pain. Br J Anaesth. 2001;87:107-16.
4. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: Risk factors and prevention. Lancet. 2006;367:1618-25.
5. Shanthanna H, Huilgol M, Manivackam VK. Early and effective use of ketamine for treatment of phantom limb pain. Indian J Anaesth. 2010;54:157-9.
6. Jaeger H, Maier C. Calcitonin in phantom limb pain: A double blind study. Pain. 1992;48:21-7.
7. Nikolajsen L, Ilkjaer S, Kroner K, Christensen JH, Jensen TS. The influence of preamputation pain on postamputation stump and phantom pain. Pain. 1997;72:393-405.
8. Hanley MA, Jensen MP, Smith DG, Ehde DM, Edwards WT, Robinson LR. Preamputation pain and acute pain predict chronic pain after lower extremity amputation. J Pain. 2007;8:102-9.
9. Karanikolas M, Aretha D, Tsolakis I, Monantera G, Kiekkas P, Papadoulas S, et al. Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence, and frequency: A prospective, randomized, clinical trial. Anesthesiology. 2011;114:1144-54.
10. Kooijman CM, Dijkstra PU, Geertzen JH, Elzinga A, van der Schans CP. Phantom pain and phantom sensations in upper limb amputees: An epidemiological study. Pain. 2000;87: 33-1.
11. Cadavid A, Mayungo T. A very early phantom limb pain (PLP) after lower extremity amputation. A case presentation. Benzon Symposium No. 57, Acute Pain-Pathophysiology and Risk Factors for Chronification. October 4-7, 2010, p 49. Copenhagen, Denmark, consultado 7 Mayo 2013. Abstract disponible en: www.benzon-foundation.dk/sites/default/files/files/s57-abs tracts.pdf
12. Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth. 2008;101:77-86.
13. Flor H. Phantom-limb pain: Characteristics, causes, and treatment. Lancet Neurol. 2002;1:182-9.
14. Ruscheweyh R, Wilder-Smith O, Drdla R, Liu XG, Sandkùhler J. Long-term potentiation in spinal nociceptive pathways as a novel target for pain therapy. Mol Pain. 2011;7:20.
15. Van den Broeke EN, van Rijn CM, Biurrun Manresa JA, Andersen OK, Arendt-Nielsen L, Wilder-Smith OH. Neurophysiological correlates of nociceptive heterosynaptic long-term potentiation in humans. J Neurophysiol. 2010;103:2107-13.
16. Drdla R, Sandkühler J. Long-term potentiation at C-fibre synapses by low-level presynaptic activity in vivo. Mol Pain. 2008;4:18.
17. Ikeda H, Stark J, Fischer H, Wagner M, Drdla R, Jäger T, et al. Synaptic amplifier of inflammatory pain in the spinal dorsal horn. Science. 2006;312:1659-62.
18. Ypsilantis E, Tang TY. Pre-emptive analgesia for chronic limb pain after amputation for peripheral vascular disease: A systematic review. Ann Vasc Surg. 2010;24:1139-46.
19. Tsuneyosi I, Kanmura Y, Hidaka T, Yoshimura N. Beneficial effect of ketamine hydrochloride in phantom limb pain: Report of a case. J Anesth. 1997;11:309-10.
20. Hocking G, Cousins M. Ketamine in chronic pain management: An evidence-based review. Anesth Analg. 2003;97:1730-9.
21. Eichenberger U, Neff F, Sveticic G, Bjorgo S, Petersen-Felix S, Arendt-Nielsen L, et al. Chronic phantom limb pain: The effects of calcitonin, ketamine, and their combination on pain and sensory thresholds. Anesth Analg. 2008;106: 1265-73.
22. Klein T, Magerl W, Nickel T, Hopf HC, Sandkühler J, Treede RD. Effects of the NMDA-receptor antagonist ketamine on perceptual correlates of long-term potentiation within the nociceptive system. Neuropharmacology. 2007;52:655-61.
23. Florez S, Leon M, Torres M, Reyes F, Serpa J, Ríos A. Manejo farmacológico del dolor neuropático. Rev Colomb Anestesiol. 2009;37:356-72.
24. Finnerup N, Sindrup S, Jensen T. The evidence for pharmacological treatment of neuropathic pain. Pain. 2010;150:573-81.
How to Cite
1.
Cadavid Puentes AM, Castañeda Marin EM. Very early phantom limb pain following amputation of a lower extremity: Case report. Colomb. J. Anesthesiol. [Internet]. 2013 Jul. 1 [cited 2024 Apr. 19];41(3):236–239. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/699
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Published
2013-07-01
How to Cite
1.
Cadavid Puentes AM, Castañeda Marin EM. Very early phantom limb pain following amputation of a lower extremity: Case report. Colomb. J. Anesthesiol. [Internet]. 2013 Jul. 1 [cited 2024 Apr. 19];41(3):236–239. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/699
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Section
Case Report / Case Series
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