Total knee arthroplasty in Brown-Séquard syndrome.
Arin Mahmoud, Rajendran Sucharita, Dawn Harpham et al.
✦ AI-curated · Sources linked
Case in brief
A patient with Brown-Séquard syndrome presented with severe neuropathic pain due to osteoarthritis. After conservative treatments failed, total knee arthroplasty was performed. Pain levels, measured using the EuroQol Visual Analogue Scale, significantly improved from 90 preoperatively to 0 at one year post-surgery, indicating successful pain management.
Diagnostic / clinical pearl
This case highlights that total knee arthroplasty can be effective for managing neuropathic pain in patients with Brown-Séquard syndrome, challenging traditional views on pain types in osteoarthritis.