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Lance Atlas Roy

Associate Professor of Anesthesiology
Anesthesiology, VA Anesthesiology Service
DUMC Box 3094, Durham, NC 27710
4309 Medical Park Drive, Durham, NC 27710

Selected Publications

Device review: Pulsanteā„¢ sphenopalatine ganglion microstimulator.

Journal Article Pain Manag · November 2019 Cluster headache (CH) is a primary headache disorder. The use of neuromodulation in treatment of CH is well documented. The sphenopalatine ganglion (SPG) has long been a target for management of CH. Intervention at the level of the SPG can interrupt the tr ... Full text Link to item Cite

Conservative Management of Neuropathic Pain in a Patient With Pancoast-Tobias Syndrome: A Case Report.

Journal Article A A Pract · July 15, 2018 Pancoast-Tobias syndrome characterizes the signs and symptoms of a superior pulmonary sulcus tumor, and includes arm and shoulder pain, atrophy of intrinsic hand muscles, and ipsilateral Horner syndrome. The rarity and overall poor prognosis of patients wi ... Full text Link to item Cite

Evaluation of an innovative spinal cord stimulator platform for the treatment of chronic pain.

Journal Article Pain Manag · May 2018 Spinal cord stimulation (SCS) is an ever-evolving therapy for the treatment of chronic pain. Currently, there are four main companies offering a variety of options for SCS. The Intellisā„¢ system is the latest offering from Medtronic (MN, USA). Intellis offe ... Full text Link to item Cite

Utility of Radionuclide Bone Scintigraphy in Complex Regional Pain Syndrome.

Journal Article Curr Pain Headache Rep · February 1, 2018 PURPOSE OF REVIEW: To describe the current understanding of the role of three-phase bone scintigraphy (TPBS) in the diagnosis and management of complex regional pain syndrome (CRPS), discuss its advantages and limitations, and present three examples of TPB ... Full text Link to item Cite

Survival Analysis of Occipital Nerve Stimulator Leads Placed under Fluoroscopic Guidance with and without Ultrasonography.

Journal Article Pain Physician · November 2017 BACKGROUND: Electrical stimulation of the greater occipital nerves is performed to treat pain secondary to chronic daily headaches and occipital neuralgia. The use of fluoroscopy alone to guide the surgical placement of electrodes near the greater occipita ... Link to item Cite

Inadvertent Intrafacet Injection during Lumbar Interlaminar Epidural Steroid Injection: A Comparison of CT Fluoroscopic and Conventional Fluoroscopic Guidance.

Journal Article AJNR Am J Neuroradiol · February 2017 BACKGROUND AND PURPOSE: Inadvertent intrafacet injection can occur during interlaminar epidural steroid injection, resulting in a false-positive loss of resistance and nontarget injection of medication. The purpose of this investigation was to compare the ... Full text Link to item Cite

New modalities of neurostimulation: high frequency and dorsal root ganglion.

Journal Article Curr Opin Anaesthesiol · October 2016 PURPOSE OF REVIEW: Neurostimulation is a well tolerated, cost-efficient, and effective method to treat chronic pain. Although spinal cord stimulation (SCS) has been shown to help patients, newer modalities such as burst, kilohertz-frequency, and dorsal roo ... Full text Link to item Cite

Insurance disparities in the outcomes of spinal cord stimulation surgery.

Journal Article Neuromodulation · 2013 OBJECTIVES: The Affordable Care Act aims to expand health insurance and to help narrow existing health care disparities. Medicaid patients have previously been noted to be at an increased risk for impaired access to health care, delayed medical treatment, ... Full text Link to item Cite