硬膜外脊髓刺激治疗疼痛性腿部和移动性脚趾综合征。

Epidural spinal cord stimulation for the treatment of painful legs and moving toes syndrome.

作者信息

Takahashi H, Saitoh C, Iwata O, Nanbu T, Takada S, Morita S

机构信息

Pain Center, Teikyo University School of Medicine, Ichihara Hospital, Anesaki 3426-3, Ichihara, Chiba 299-0111, Japan Department of Anesthesiology, Teikyo University, Ichihara Hospital, Chiba, Japan.

出版信息

Pain. 2002 Apr;96(3):343-345. doi: 10.1016/S0304-3959(01)00479-1.

DOI:10.1016/S0304-3959(01)00479-1

PMID:11973008

Abstract

A case of 51-year-old male with painful legs and moving toes syndrome was successfully treated with epidural spinal cord stimulation. He was previously treated with varieties of medication, epidural block, transcutaneous nerve stimulation, lumbar sympathetic block, with no or only a transient effect. Epidural spinal cord stimulation was applied by means of percutaneously inserted epidural electrodes connected to a percutaneous extension for 2-week test stimulation period and later to a permanent device (ITREL). Pain and involuntary movement were relieved almost completely during the stimulation and the effect was still evident 6 months later.

摘要

一名51岁患有下肢疼痛和移动脚趾综合征的男性患者，通过硬膜外脊髓刺激成功治愈。他之前接受过各种药物治疗、硬膜外阻滞、经皮神经刺激、腰交感神经阻滞，但均无效果或仅有短暂疗效。通过经皮插入硬膜外电极并连接经皮延长线进行硬膜外脊髓刺激，进行了为期2周的测试刺激期，之后连接到永久性装置（ITREL）。刺激期间疼痛和不自主运动几乎完全缓解，6个月后效果仍然明显。