A new and alternative leads positioning for complex regional pain syndrome treatment: paraforaminal stimulation
| Autor: | Giandomenico Babbolin, Gianni Colini Baldeschi |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
business.industry Stimulation General Medicine Spinal cord stimulation medicine.disease Epidural space Surgery Anesthesiology and Pain Medicine Complex regional pain syndrome medicine.anatomical_structure Neurology Anesthesia Female patient medicine Neurology (clinical) business Unilateral pain Type I Complex Regional Pain Syndrome |
| Zdroj: | Neuromodulation : journal of the International Neuromodulation Society. 10(1) |
| ISSN: | 1094-7159 |
| Popis: | We present a case of a female patient suffering from type I complex regional pain syndrome (CRPS) who developed “mirror imaging” of her CRPS and was successfully treated with dual spinal cord stimulation (SCS) in the paraforaminal epidural space. This patient initially had unilateral pain that was unsuccessfully treated with midline SCS and single-lead lateral epidural lead placement “paraforaminally.” One year later, because we believed that paraforaminal stimulation would preferentially stimulate primary sensitized afferents innervating the painful area, we reperformed SCS with two leads positioned laterally and paraforaminally close to the roots within the epidural space. After repositioning and after 1 year of paraforaminal stimulation, there was significant improvement in the patient’s symptoms, resolving all unilateral and “mirrored” symptoms. We conclude that paraforaminal stimulation may be a valid therapeutic option for the treatment of CRPS. |
| Databáze: | OpenAIRE |
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