Chiaki Yamada1, Aiko Maeda2, Katsuyuki Matsushita3, Shoko Nakayama3, Kazuhiro Shirozu4, Ken Yamaura4. 1. Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, Fukuoka, Japan. 2. Operating Rooms, Kyushu University Hospital, 3-1-1 Maedashi Higashi-ku, Fukuoka-city, Fukuoka, 812-8582, Japan. mariamariared@yahoo.co.jp. 3. Operating Rooms, Kyushu University Hospital, 3-1-1 Maedashi Higashi-ku, Fukuoka-city, Fukuoka, 812-8582, Japan. 4. Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Abstract
BACKGROUND: Patients with spinal cord injury (SCI) frequently complain of intractable pain that is resistant to conservative treatments. Here, we report the successful application of 1-kHz high-frequency spinal cord stimulation (SCS) in a patient with refractory neuropathic pain secondary to SCI. CASE PRESENTATION: A 69-year-old male diagnosed with SCI (C4 American Spinal Injury Association Impairment Scale A) presented with severe at-level bilateral upper extremity neuropathic pain. Temporary improvement in his symptoms with a nerve block implied peripheral component involvement. The patient received SCS, and though the tip of the leads could not reach the cervical vertebrae, a 1-kHz frequency stimulus relieved the intractable pain. CONCLUSIONS: SCI-related symptoms may include peripheral components; SCS may have a considerable effect on intractable pain. Even when the SCS electrode lead cannot be positioned in the target area, 1-kHz high-frequency SCS may still produce positive effects.
BACKGROUND:Patients with spinal cord injury (SCI) frequently complain of intractable pain that is resistant to conservative treatments. Here, we report the successful application of 1-kHz high-frequency spinal cord stimulation (SCS) in a patient with refractory neuropathic pain secondary to SCI. CASE PRESENTATION: A 69-year-old male diagnosed with SCI (C4 American Spinal Injury Association Impairment Scale A) presented with severe at-level bilateral upper extremity neuropathic pain. Temporary improvement in his symptoms with a nerve block implied peripheral component involvement. The patient received SCS, and though the tip of the leads could not reach the cervical vertebrae, a 1-kHz frequency stimulus relieved the intractable pain. CONCLUSIONS: SCI-related symptoms may include peripheral components; SCS may have a considerable effect on intractable pain. Even when the SCS electrode lead cannot be positioned in the target area, 1-kHz high-frequency SCS may still produce positive effects.
Authors: N B Finnerup; M P Jensen; C Norrbrink; K Trok; I L Johannesen; T S Jensen; L Werhagen Journal: Spinal Cord Date: 2016-03-01 Impact factor: 2.772
Authors: T N Bryce; F Biering-Sørensen; N B Finnerup; D D Cardenas; R Defrin; T Lundeberg; C Norrbrink; J S Richards; P Siddall; T Stripling; R-D Treede; S G Waxman; E Widerström-Noga; R P Yezierski; M Dijkers Journal: Spinal Cord Date: 2011-12-20 Impact factor: 2.772
Authors: E Widerström-Noga; F Biering-Sørensen; T Bryce; D D Cardenas; N B Finnerup; M P Jensen; J S Richards; P J Siddall Journal: Spinal Cord Date: 2008-06-03 Impact factor: 2.772
Authors: Timothy Deer; Konstantin V Slavin; Kasra Amirdelfan; Richard B North; Allen W Burton; Thomas L Yearwood; Ed Tavel; Peter Staats; Steven Falowski; Jason Pope; Rafael Justiz; Alain Y Fabi; Alexander Taghva; Richard Paicius; Timothy Houden; Derron Wilson Journal: Neuromodulation Date: 2017-09-29