Leonardo Kapural

Summary

Affiliation: Cleveland Clinic Foundation
Country: USA

Publications

  1. doi request reprint Successful treatment of lumbar discogenic pain using intradiscal biacuplasty in previously discectomized disc
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 9:130-4. 2009
  2. doi request reprint Nuclear, intradiscal hemangioma
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 8:114-6. 2008
  3. doi request reprint Effective cervical spinal cord stimulation for bilateral lower extremities pain: technical report
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 8:117-9. 2008
  4. doi request reprint Histological changes and temperature distribution studies of a novel bipolar radiofrequency heating system in degenerated and nondegenerated human cadaver lumbar discs
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Pain Med 9:68-75. 2008
  5. ncbi request reprint Botulinum toxin occipital nerve block for the treatment of severe occipital neuralgia: a case series
    Leonardo Kapural
    Pain Management Department, Division of Anesthesiology, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 7:337-40. 2007
  6. ncbi request reprint Value of the magnetic resonance imaging in patients with painful lumbar spinal stenosis (LSS) undergoing lumbar epidural steroid injections
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, OH 44195, USA
    Clin J Pain 23:571-5. 2007
  7. doi request reprint Intrathecal ziconotide for complex regional pain syndrome: seven case reports
    Leonardo Kapural
    The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 9:296-303. 2009
  8. ncbi request reprint Novel intradiscal biacuplasty (IDB) for the treatment of lumbar discogenic pain
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 7:130-4. 2007
  9. doi request reprint Cooled radiofrequency (RF) of L5 dorsal ramus for RF denervation of the sacroiliac joint: technical report
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Med 11:53-7. 2010
  10. ncbi request reprint Spinal cord stimulation is an effective treatment for the chronic intractable visceral pelvic pain
    Leonardo Kapural
    Pain Management Department, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Pain Med 7:440-3. 2006

Collaborators

Detail Information

Publications39

  1. doi request reprint Successful treatment of lumbar discogenic pain using intradiscal biacuplasty in previously discectomized disc
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 9:130-4. 2009
    ..IDB may be an effective treatment for patients with discogenic pain from previously discectomized discs...
  2. doi request reprint Nuclear, intradiscal hemangioma
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 8:114-6. 2008
  3. doi request reprint Effective cervical spinal cord stimulation for bilateral lower extremities pain: technical report
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 8:117-9. 2008
  4. doi request reprint Histological changes and temperature distribution studies of a novel bipolar radiofrequency heating system in degenerated and nondegenerated human cadaver lumbar discs
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Pain Med 9:68-75. 2008
    ..In our study we used two human cadaver lumbar spines, one moderately to severely degenerated and the other mildly degenerated...
  5. ncbi request reprint Botulinum toxin occipital nerve block for the treatment of severe occipital neuralgia: a case series
    Leonardo Kapural
    Pain Management Department, Division of Anesthesiology, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 7:337-40. 2007
    ..The functional capacity improvement measured by PDI was profound enough in the majority of the patients to allow patients to resume their regular daily activities for a period of time...
  6. ncbi request reprint Value of the magnetic resonance imaging in patients with painful lumbar spinal stenosis (LSS) undergoing lumbar epidural steroid injections
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, OH 44195, USA
    Clin J Pain 23:571-5. 2007
    ....
  7. doi request reprint Intrathecal ziconotide for complex regional pain syndrome: seven case reports
    Leonardo Kapural
    The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 9:296-303. 2009
    ..Adverse events generally resolved spontaneously, with treatment, or with ziconotide discontinuation/dose reduction. Although further studies are required, ziconotide holds promise as an effective treatment for CRPS...
  8. ncbi request reprint Novel intradiscal biacuplasty (IDB) for the treatment of lumbar discogenic pain
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Pract 7:130-4. 2007
    ..Potential advantages of cooled, bipolar radiofrequency to heat the posterior annulus are discussed...
  9. doi request reprint Cooled radiofrequency (RF) of L5 dorsal ramus for RF denervation of the sacroiliac joint: technical report
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Med 11:53-7. 2010
    ..The objective of this technical report is to evaluate the acute safety of denervating the L5DR using cooled RF electrode...
  10. ncbi request reprint Spinal cord stimulation is an effective treatment for the chronic intractable visceral pelvic pain
    Leonardo Kapural
    Pain Management Department, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Pain Med 7:440-3. 2006
    ..We are reporting on the value of neurostimulation for chronic visceral pelvic pain in six female patients with the diagnosis of long-standing pelvic pain (history of endometriosis, multiple surgical explorations, and dyspareunia)...
  11. doi request reprint Spinal cord stimulation for chronic visceral abdominal pain
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Med 11:347-55. 2010
    ..Spinal cord stimulation (SCS) may reduce pain scores and improve function in patients with chronic visceral abdominal pain. We thus present our large clinical experience in SCS for visceral abdominal pain...
  12. ncbi request reprint Decreased insulin requirements with spinal cord stimulation in a patient with diabetes
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Anesth Analg 98:745-6, table of contents. 2004
    ..We believe that spinal cord stimulation may provide additional beneficial effects in patients with chronic pain and diabetes...
  13. ncbi request reprint Intradiscal thermal annuloplasty for the treatment of lumbar discogenic pain in patients with multilevel degenerative disc disease
    Leonardo Kapural
    Pain Management Center, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk C25, Cleveland, OH 44195, USA
    Anesth Analg 99:472-6, table of contents. 2004
    ..0037 and P = 0.041, respectively). We concluded that IDTA is an effective treatment of discogenic pain and that the number of discs affected by degeneration is an important determinant of the procedure outcome...
  14. doi request reprint Intradiscal biacuplasty (IDB) for the treatment of thoracic discogenic pain
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, OH 44195, USA
    Clin J Pain 26:354-7. 2010
    ..Unlike lumbar discogenic pain there is a lack of effective surgical options. Reported here is the treatment of thoracic discogenic pain in 3 patients using a new minimally invasive procedure named intradiscal biacuplasty...
  15. ncbi request reprint Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study
    Leonardo Kapural
    Pain Management Center, The Cleveland Clinic Foundation, 9500 Euclid Ave, Desk C25, Cleveland, OH 44195, USA
    Anesth Analg 101:171-4, table of contents. 2005
    ..There is only one small midline incision over the upper neck and the strain on the lead extension occurs only with flexion and is minimal with lateral flexion and rotation, which contributes to overall stability of this system...
  16. ncbi request reprint Intradiscal thermal annuloplasty versus intradiscal radiofrequency ablation for the treatment of discogenic pain: a prospective matched control trial
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Med 6:425-31. 2005
    ..The second technique, radiofrequency posterior annuloplasty (RFA), is used in many interventional pain practices, although studies on the technique's efficacy are lacking. This study compares the effectiveness of those two methods...
  17. doi request reprint Technical aspects of spinal cord stimulation for managing chronic visceral abdominal pain: the results from the national survey
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Med 11:685-91. 2010
    ..However, there is no consensus on patient selection or technical aspects of SCS for such pain. That is why we conducted national survey and collected 76 case reports. There were six incompletely filled reports, so we analyzed 70 cases...
  18. doi request reprint Cooled radiofrequency system for the treatment of chronic pain from sacroiliitis: the first case-series
    Leonardo Kapural
    Department of Pain Management, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 8:348-54. 2008
    ..The majority of patients with chronic SI joint pain experienced a clinically relevant degree of pain relief and improved function following cooled RF of sacral lateral branches and DR of L5 at 3-4 months follow-up...
  19. ncbi request reprint Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy
    Robert F McLain
    The Cleveland Clinic Spine Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Spine J 5:191-201. 2005
    ....
  20. doi request reprint Intervertebral disc biacuplasty for the treatment of lumbar discogenic pain: results of a six-month follow-up
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic, Cleveland, OH 44195, USA
    Pain Med 9:60-7. 2008
    ..Thirteen patients completed follow-up questionnaires at 1, 3, and 6 months. Pain disability was evaluated with Oswestry and Short Form (SF)-36 questionnaires...
  21. doi request reprint Morphologic abnormalities are poorly predictive of visceral pain in chronic pancreatitis
    Rubin Bahuva
    Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH 44195, USA
    Pancreas 42:6-10. 2013
    ..We investigated the correlation of pancreatic structural abnormalities evident on imaging tests with the presence of visceral pain on DNB...
  22. doi request reprint Clinical applications of neurostimulation: forty years later
    Nagy A Mekhail
    Department of Pain Management, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
    Pain Pract 10:103-12. 2010
    ..Research with more vigorous designs is needed to establish evidence-based applications of neuromodulation therapy in emerging indications of pain management...
  23. ncbi request reprint Tunneled epidural catheter infections in noncancer pain: increased risk in patients with neuropathic pain/complex regional pain syndrome
    Salim Michel Hayek
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Clin J Pain 22:82-9. 2006
    ..A cohort retrospective study design was undertaken to evaluate the risk of catheter-related infection in patients who underwent a TEC placement to manage their chronic noncancer regional pain over a 5-year period...
  24. doi request reprint Ultrasound-guided cervical selective nerve root block: a fluoroscopy-controlled feasibility study
    Samer N Narouze
    Pain Management Department, Cleveland Clinic Foundation, 9500 Euclid Ave C25, Cleveland, OH 44195, USA
    Reg Anesth Pain Med 34:343-8. 2009
    ..As ultrasound allows for visualization of soft tissues, nerves, and vessels, thus potentially improving precision and safety, we evaluated its feasibility in cervical nerve root injections...
  25. doi request reprint Differential epidural block predicts the success of visceral block in patients with chronic visceral abdominal pain
    Maged K Rizk
    Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA
    Pain Pract 12:595-601. 2012
    ..This is a retrospective case series evaluating how well a DNB may predict success of subsequent visceral blockade in patients with chronic abdominal pain of visceral origin...
  26. doi request reprint Spinal cord stimulation for chronic visceral pain secondary to chronic non-alcoholic pancreatitis
    Leonardo Kapural
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, OH, USA
    J Clin Gastroenterol 42:750-1. 2008
    ..Pain Disability Index changed from 62 to 15. Opiate use decreased to none. It seems that SCS may have a significant therapeutic potential for the treatment of visceral pain secondary to chronic pancreatitis...
  27. ncbi request reprint Opioid-sparing effect of intravenous outpatient ketamine infusions appears short-lived in chronic-pain patients with high opioid requirements
    Leonardo Kapural
    Departments of Pain Management and Outcomes Research, Cleveland Clinic, Cleveland, OH, USA
    Pain Physician 13:389-94. 2010
    ..This study evaluated whether or not repeated outpatient infusions of intravenous ketamine reduced the amount of pain and the amount of opioid requirements for patients suffering with chronic, non-cancerous pain...
  28. doi request reprint Peripheral nerve stimulation for occipital neuralgia: surgical leads
    Leonardo Kapural
    Pain Management Department, Cleveland Clinic, Cleveland, Ohio, USA
    Prog Neurol Surg 24:86-95. 2011
    ..However, disregarding the type of lead used, multiple clinical advantages of this minimally invasive, easily reversible approach include relatively low morbidity and a high treatment efficacy...
  29. doi request reprint Spinal cord stimulation for visceral pain from chronic pancreatitis
    Leonardo Kapural
    Pain Management Department, Anesthesia Institute, Cleveland Clinic, Cleveland, Ohio, USA
    Neuromodulation 14:423-6; discussion 426-7. 2011
    ..Here described is a large clinical experience in SCS for severe chronic pancreatitis...
  30. ncbi request reprint Erosion of the inferior epigastric artery: a rare complication of intrathecal drug delivery systems
    Samer N Narouze
    Pain Management Center, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Med 8:468-70. 2007
    ..This inferior epigastric artery erosion could be avoided by implanting the intrathecal pump laterally away from the rectus abdominus muscle sheath...
  31. doi request reprint Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache
    Samer Narouze
    Cleveland Clinic Foundation, Pain Management Department, Cleveland, OH 44195, USA
    Headache 49:571-7. 2009
    ..We were interested to examine the effect of such intervention in patients with intractable chronic cluster headache who failed pharmacological management...
  32. ncbi request reprint Successful treatment of spontaneous cerebrospinal fluid leak headache with fluoroscopically guided epidural blood patch: a report of four cases
    Salim M Hayek
    Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pain Med 4:373-8. 2003
    ..In this report, we describe four consecutive cases that were referred to our pain management department over an 18-month period and were successfully treated with site-directed epidural blood patches...
  33. doi request reprint Adding triamcinolone to endoscopic ultrasound-guided celiac plexus blockade does not reduce pain in patients with chronic pancreatitis
    Tyler Stevens
    Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA ccf org
    Clin Gastroenterol Hepatol 10:186-91, 191.e1. 2012
    ..Triamcinolone is often mixed with bupivacaine to lengthen the analgesic effect. We investigated whether addition of triamcinolone increases and lengthens pain relief compared with EUS-CPB with only bupivacaine...
  34. ncbi request reprint Pre-transplant MELD and sodium MELD scores are poor predictors of graft failure and mortality after liver transplantation
    Jacek B Cywinski
    Departments of General Anesthesiology and Outcomes Research, Transplantation Center, Cleveland Clinic, Cleveland, OH, USA
    Hepatol Int 5:841-9. 2011
    ..We, therefore, evaluated and compared the ability of the sodium MELD and MELD scores to predict graft and patient survival after OLT...
  35. ncbi request reprint Supraorbital nerve electric stimulation for the treatment of intractable chronic cluster headache: a case report
    Samer N Narouze
    Pain Management Department, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    Headache 47:1100-2. 2007
    ..We describe a patient with intractable chronic cluster headache that responded well to supraorbital nerve electric stimulation...
  36. ncbi request reprint Epidural steroids for back and leg pain: mechanism of action and efficacy
    Robert F McLain
    The Cleveland Clinic Spine Institute, The Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, OH 44195, USA
    Cleve Clin J Med 71:961-70. 2004
    ..We review the rationale, available data, techniques, and indications for these injections...
  37. ncbi request reprint A randomized, double-blind, controlled trial: intradiscal electrothermal therapy versus placebo for the treatment of chronic discogenic low back pain
    Leonardo Kapural
    Spine (Phila Pa 1976) 31:1636; author reply 1636-7. 2006
  38. ncbi request reprint An effective treatment of severe complex regional pain syndrome type 1 in a child using high doses of intrathecal ziconotide
    Michael Stanton-Hicks
    J Pain Symptom Manage 32:509-11. 2006
  39. doi request reprint Intervertebral disk cooled bipolar radiofrequency (intradiskal biacuplasty) for the treatment of lumbar diskogenic pain: a 12-month follow-up of the pilot study
    Leonardo Kapural
    Pain Med 9:407-8. 2008