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PAIN MEDICINE

Disappearance of Phantom Limb Pain During Cauda Equina Compression by Spinal Meningioma and Gradual Reactivation After Decompression

Mehmet D. Aydin, MD^*, Mehmet Cesur, MD, Nazan Aydin, MD, and Haci A. Alici, MD

*Department of Neurosurgery, Department of Anesthesiology and Intensive Care Department of Psychiatry, Ataturk University, School of Medicine, Erzurum, Turkey

Address correspondence and reprint requests to Mehmet Cesur, Yunus Emre Mah., Tomurcuk Sok,. kizler Apt. B Blok No: 7/7 25080 Yenisehir/Erzurum, Turkey. Address e-mail to mcesur{at}atauni.edu.tr.

We describe a 65-yr-old woman, whose right lower limb had been amputated at the mid-femoral level because of complicated femur fracture sustained at the age of 5 yr. After amputation, she experienced phantom limb pain (PLP), which gradually decreased in intensity but persisted for 60 yr. At this point the pain diminished progressively, in parallel with the evolution of cauda equina compression caused by an intraspinal tumor. The PLP gradually reappeared over 3 mo after surgical removal of the tumor.