Atypical Supernumerary Phantom Limb and Phantom Limb Pain in a Patient With Spinal Cord Injury: Case Report.
10.5535/arm.2013.37.6.901
- Author:
Ja Young CHOI
1
;
Hyo In KIM
;
Kil Chan LEE
;
Zee A HAN
Author Information
1. Department of Physical Medicine and Rehabilitation, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
- Publication Type:Case Report
- Keywords:
Phantom limb pain;
Spinal cord injury;
Tetraplegia;
Neuropathic pain
- MeSH:
Accidents, Traffic;
Adult;
Extremities;
Hip Joint;
Humans;
Inpatients;
Leg;
Lower Extremity;
Neuralgia;
Phantom Limb*;
Quadriplegia;
Spinal Cord Injuries*;
Spinal Cord*
- From:Annals of Rehabilitation Medicine
2013;37(6):901-906
- CountryRepublic of Korea
- Language:English
-
Abstract:
Supernumerary phantom limb (SPL) resulting from spinal cord lesions are very rare, with only sporadic and brief descriptions in the literature. Furthermore, the reported cases of SPL typically occurred in neurologically incomplete spinal cord patients. Here, we report a rare case of SPL with phantom limb pain that occurred after traumatic spinal cord injury in a neurologically complete patient. After a traffic accident, a 43-year-old man suffered a complete spinal cord injury with a C6 neurologic level of injury. SPL and associated phantom limb pain occurred 6 days after trauma onset. The patient felt the presence of an additional pair of legs that originated at the hip joints and extended medially, at equal lengths to the paralyzed legs. The intensity of SPL and associated phantom limb pain subsequently decreased after visual-tactile stimulation treatment, in which the patient visually identified the paralyzed limbs and then gently tapped them with a wooden stick. This improvement continued over the 2 months of inpatient treatment at our hospital and the presence of the SPLs was reduced to 20% of the real paralyzed legs. This is the first comprehensive report on SPLs of the lower extremities after neurologically complete spinal cord injury.
