Phantom limb pain, a well known phenomenon, was described originally by Ambroise Paré in the seventeenth century. Recent investigators have described the sensation in patients who have had amputation of a limb2,5,7,8.
We are aware of at least one report of a patient with a transfemoral amputation who had a herniated disc between the fifth lumbar and first sacral vertebrae that caused pain in the stump6. Although pain in a stump most often results from the formation of a neuroma6, the patient in that report became symptom-free after a laminectomy and excision of the herniated disc. In an earlier report, two patients who had had an amputation of a limb were found to have a herniated lumbar disc that caused the perception of radicular pain distal to the level of the amputation4. After excision of the lumbar disc, the radicular pain was relieved in both patients.
We report on a patient who had phantom pain in the distribution of the sciatic nerve three years after a segment of that nerve had been removed in the course of an excision of an intermediate-grade liposarcoma of the posterior aspect of the right thigh. Removal of the intervertebral disc between the fourth and fifth lumbar vertebrae relieved the pain.
A sixty-two-year-old woman was found to have an intermediate-grade liposarcoma in the posterior aspect of the right thigh in 1984. She was managed with one course of neoadjuvant chemotherapy, which included intra-arterial …
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