Increased phantom limb pain as an initial symptom of spinal neoplasia
Phantom limb pain is a common sequela of amputation. Studies suggest that over time, there is a decrease in frequency and intensity of phantom pain. Persistently increased phantom pain has been seen in benign lesions affecting the peripheral and central nervous system. We present a 74-year-old woman...
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| Veröffentlicht in: | Journal of pain and symptom management 1997-06, Vol.13 (6), p.362-364 |
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| container_end_page | 364 |
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| container_issue | 6 |
| container_start_page | 362 |
| container_title | Journal of pain and symptom management |
| container_volume | 13 |
| creator | CHANG, V. T TUNKEL, R. S PATTILLO, B. A LACHMANN, E. A |
| description | Phantom limb pain is a common sequela of amputation. Studies suggest that over time, there is a decrease in frequency and intensity of phantom pain. Persistently increased phantom pain has been seen in benign lesions affecting the peripheral and central nervous system. We present a 74-year-old woman who had a left above-knee amputation for leiomyosarcoma of the foot 24 years previously. She had been free of disease and ambulated independently until 1 month before hospitalization, when she noted increasing pain in her phantom foot. At the time of admission, she had developed increasing low back pain and was diagnosed with adenocarcinoma of unknown primary. Work-up confirmed involvement of the L4 vertebral body with epidural and paraspinal disease. We believe this is the first reported case of worsening phantom limb pain resulting from a spinal metastasis. We review the literature on the potential implications of increased phantom pain. |
| doi_str_mv | 10.1016/S0885-3924(97)00011-0 |
| format | Article |
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We believe this is the first reported case of worsening phantom limb pain resulting from a spinal metastasis. We review the literature on the potential implications of increased phantom pain.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/S0885-3924(97)00011-0</identifier><identifier>PMID: 9204658</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adenocarcinoma - diagnosis ; Adenocarcinoma - etiology ; Adenocarcinoma - therapy ; Aged ; Amputation ; Biological and medical sciences ; Bone Neoplasms - surgery ; Diagnosis, Differential ; Fatal Outcome ; Female ; Humans ; Leiomyosarcoma - surgery ; Low Back Pain - etiology ; Low Back Pain - physiopathology ; Lumbar Vertebrae ; Medical sciences ; Neurology ; Phantom Limb - diagnosis ; Phantom Limb - etiology ; Phantom Limb - physiopathology ; Spinal Neoplasms - complications ; Spinal Neoplasms - diagnosis ; Spinal Neoplasms - secondary ; Spinal Neoplasms - therapy ; Tumors of the nervous system. 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A</creatorcontrib><title>Increased phantom limb pain as an initial symptom of spinal neoplasia</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Phantom limb pain is a common sequela of amputation. Studies suggest that over time, there is a decrease in frequency and intensity of phantom pain. Persistently increased phantom pain has been seen in benign lesions affecting the peripheral and central nervous system. We present a 74-year-old woman who had a left above-knee amputation for leiomyosarcoma of the foot 24 years previously. She had been free of disease and ambulated independently until 1 month before hospitalization, when she noted increasing pain in her phantom foot. At the time of admission, she had developed increasing low back pain and was diagnosed with adenocarcinoma of unknown primary. Work-up confirmed involvement of the L4 vertebral body with epidural and paraspinal disease. We believe this is the first reported case of worsening phantom limb pain resulting from a spinal metastasis. We review the literature on the potential implications of increased phantom pain.</description><subject>Adenocarcinoma - diagnosis</subject><subject>Adenocarcinoma - etiology</subject><subject>Adenocarcinoma - therapy</subject><subject>Aged</subject><subject>Amputation</subject><subject>Biological and medical sciences</subject><subject>Bone Neoplasms - surgery</subject><subject>Diagnosis, Differential</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Humans</subject><subject>Leiomyosarcoma - surgery</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - physiopathology</subject><subject>Lumbar Vertebrae</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Phantom Limb - diagnosis</subject><subject>Phantom Limb - etiology</subject><subject>Phantom Limb - physiopathology</subject><subject>Spinal Neoplasms - complications</subject><subject>Spinal Neoplasms - diagnosis</subject><subject>Spinal Neoplasms - secondary</subject><subject>Spinal Neoplasms - therapy</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LAzEURYModaz-hEIWLnQx-l7SfMxSStVCwYW6Lm8yGYzMZMKkLvrvHbF09eCew708xhYIDwioH9_BWlXKSizvKnMPAIglnLECrZGlVijPWXFSLtlVzt-TpKSWMzarBCy1sgVbb6IbPWXf8PRFcT_0vAt9zROFyClzijzEsA_U8Xzo0x8fWp5TiFMS_ZA6yoGu2UVLXfY3xztnn8_rj9VruX172ayetmWa9vYlSkcA0qBQjQMlhNWA1krja2OEwxqVa71QaByhk5qUh8oI47UiXTdCztnivzf91L1vdmkMPY2H3fGdid8eOWVHXTtSdCGfNGFkZQ3IX88kWPs</recordid><startdate>19970601</startdate><enddate>19970601</enddate><creator>CHANG, V. T</creator><creator>TUNKEL, R. S</creator><creator>PATTILLO, B. A</creator><creator>LACHMANN, E. A</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>19970601</creationdate><title>Increased phantom limb pain as an initial symptom of spinal neoplasia</title><author>CHANG, V. T ; TUNKEL, R. S ; PATTILLO, B. A ; LACHMANN, E. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p204t-13ca0037125dc052286018837eb772c1b15cfe2517ca1c36a5e09727e65a6bd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adenocarcinoma - diagnosis</topic><topic>Adenocarcinoma - etiology</topic><topic>Adenocarcinoma - therapy</topic><topic>Aged</topic><topic>Amputation</topic><topic>Biological and medical sciences</topic><topic>Bone Neoplasms - surgery</topic><topic>Diagnosis, Differential</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Humans</topic><topic>Leiomyosarcoma - surgery</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - physiopathology</topic><topic>Lumbar Vertebrae</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Phantom Limb - diagnosis</topic><topic>Phantom Limb - etiology</topic><topic>Phantom Limb - physiopathology</topic><topic>Spinal Neoplasms - complications</topic><topic>Spinal Neoplasms - diagnosis</topic><topic>Spinal Neoplasms - secondary</topic><topic>Spinal Neoplasms - therapy</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHANG, V. T</creatorcontrib><creatorcontrib>TUNKEL, R. S</creatorcontrib><creatorcontrib>PATTILLO, B. A</creatorcontrib><creatorcontrib>LACHMANN, E. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHANG, V. T</au><au>TUNKEL, R. S</au><au>PATTILLO, B. A</au><au>LACHMANN, E. 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At the time of admission, she had developed increasing low back pain and was diagnosed with adenocarcinoma of unknown primary. Work-up confirmed involvement of the L4 vertebral body with epidural and paraspinal disease. We believe this is the first reported case of worsening phantom limb pain resulting from a spinal metastasis. We review the literature on the potential implications of increased phantom pain.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>9204658</pmid><doi>10.1016/S0885-3924(97)00011-0</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0885-3924 |
| ispartof | Journal of pain and symptom management, 1997-06, Vol.13 (6), p.362-364 |
| issn | 0885-3924 1873-6513 |
| language | eng |
| recordid | cdi_pubmed_primary_9204658 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adenocarcinoma - diagnosis Adenocarcinoma - etiology Adenocarcinoma - therapy Aged Amputation Biological and medical sciences Bone Neoplasms - surgery Diagnosis, Differential Fatal Outcome Female Humans Leiomyosarcoma - surgery Low Back Pain - etiology Low Back Pain - physiopathology Lumbar Vertebrae Medical sciences Neurology Phantom Limb - diagnosis Phantom Limb - etiology Phantom Limb - physiopathology Spinal Neoplasms - complications Spinal Neoplasms - diagnosis Spinal Neoplasms - secondary Spinal Neoplasms - therapy Tumors of the nervous system. Phacomatoses |
| title | Increased phantom limb pain as an initial symptom of spinal neoplasia |
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