RTMS in the management of allodynia from brachial plexus injuries

摘要

Here we describe the case of a 35-year-old woman suffering from allodynia due to a traumatic brachial plexus injury treated by means of high frequency rTMS. The patient had a car accident and afterwords she reported a polytrauma with head and cervical trauma with fractures of the laminae of C7 and Tl, double fracture of the radio and complete paralysis of the right brachial plexus. CT and MRI documented hemorrhagic imbibition of the right supracla-vicular soft tissues and post-traumatic swelling of the brachial plexus' roots from C6-C7 to D1-D2 and thickening of the other roots. Electromyography was suggesting for a multilevel suffering (fromC4toTl).