A Typical Cause for Neuropathic Pain in a Person with a Chronic Traumatic Spinal Cord Injury
|Gary Linassi1*, Amanda Kleisinger1 and Renee Shannon Kennedy2|
|1Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon City Hospital, 701 Queen Street, Saskatoon, Saskatchewan, S7K 0M7, Canada|
|2Thoracic Surgery, College of Medicine, University of Saskatchewan, University of Saskatchewan, Canada|
|Corresponding Author :||Dr. Gary Linassi
MB, FRCPC, Department of Physical Medicine and Rehabilitation
College of Medicine, University of Saskatchewan
Saskatoon City Hospital, 701 Queen Street, Saskatoon
Saskatchewan, S7K 0M7, Canada
Tel: +1 306-655-8000
E-mail: [email protected]
|Received July 20, 2015; Accepted August 03, 2015; Published August 05, 2015|
|Citation: Linassi G, Kleisinger A, Kennedy RS (2015) A Typical Cause for Neuropathic Pain in a Person with a Chronic Traumatic Spinal Cord Injury. J Spine 4:244.doi:10.4172/21657939.1000244|
|Copyright: © 2015 Linassi G, et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Context: A 44-year old man with a history of a chronic T12 AIS C spinal cord injury (SCI) presented with a six month history of left chest wall neuropathic pain and upper extremity paresthesias.
Findings: Assessment demonstrated a mixed picture of upper extremity and chest wall paresthesias associated with severe neuropathic pain well above the level of his original injury. MRI of cervical spine and thorax revealed the presence of cervical canal stenosis and a soft tissue tumor at the level of the ninth left intercostal space. Surgical resection of the tumor revealed an encapsulating nerve sheath tumor diagnosed by pathology as a rare peripheral benign schwannoma or neurilemoma.
Conclusion: This unreported cause of neuropathic pain in a person with a chronic spinal cord injury is discussed within the context of the importance of thorough history and physical exam when evaluating individuals with previous spinal cord injury presenting with new neuropathic pain.