Abdi Salahadin, Haruo Arita, Bloomstone Joshua
Department of Anesthesiology, Jackson Memorial Hospital, University of Miami School of Medicine, Miami, Florida 33136, USA.
Pain Physician. 2004 Apr;7(2):261-3.
To describe a case of intractable brachial plexopathy-induced neuropathic pain syndrome treated with electroconvulsive therapy after a failed trial of conventional drugs and interventional pain management.
A 32-year-old male had chronic intractable neuropathic pain of the right upper extremity and shoulder for about 10 years, due to brachial plexopathy. He tried multiple pain medications and underwent various interventional pain procedures without significant pain relief. When the patient subsequently developed severe depression with suicidal ideation, he underwent electroconvulsive therapy, which significantly improved the depression and pain for two months.
There is a growing list of non-psychiatric conditions that may be treated with electroconvulsive therapy. Chronic intractable pain with or without depression has been on and off the list for years. Further studies may eventually demonstrate efficacy of ECT for intractable neuropathic pain syndromes.
描述一例常规药物试验和介入性疼痛管理失败后，采用电休克疗法治疗的难治性臂丛神经病变引起的神经性疼痛综合征病例。
一名32岁男性因臂丛神经病变，右上肢和肩部慢性难治性神经性疼痛约10年。他尝试了多种止痛药物，并接受了各种介入性疼痛治疗，但疼痛缓解不明显。随后，当患者出现严重抑郁并有自杀念头时，他接受了电休克疗法，抑郁和疼痛在两个月内得到了显著改善。
越来越多的非精神疾病可能用电休克疗法治疗。伴有或不伴有抑郁的慢性难治性疼痛多年来一直在该治疗范围内。进一步的研究最终可能会证明电休克疗法对难治性神经性疼痛综合征的疗效。
