脊髓刺激治疗脊髓栓系综合征难治性神经病理性疼痛：一例报告
Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report.
作者信息
Moens Maarten, De Smedt Ann, D'Haese Jan, Droogmans Steven, Chaskis Cristo
机构信息
Department of Neurosurgery, UZ Brussel, Laarbeeklaan, Brussels, 1090, Belgium.
出版信息
J Med Case Rep. 2010 Feb 25;4:74. doi: 10.1186/1752-1947-4-74.
INTRODUCTION
The spinal cord is a target for many neurosurgical procedures used to treat chronic severe pain. Neuromodulation and neuroablation are surgical techniques based on well-known specific anatomical structures. However, anatomical and electrophysical changes related to the tethered spinal cord make it more difficult to use these procedures.
CASE PRESENTATION
We report the case of a 37-year-old Caucasian woman who had several surgical interventions for tethered cord syndrome. These interventions resulted in severe neuropathic pain in her lower back and right leg. This pain was treated by spinal cord stimulation using intra-operative sensory mapping, which allowed the cord's optimal placement in a more caudal position.
CONCLUSION
The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome.
引言
脊髓是许多用于治疗慢性重度疼痛的神经外科手术的靶点。神经调节和神经消融是基于众所周知的特定解剖结构的外科技术。然而，与脊髓拴系相关的解剖和电生理变化使得使用这些手术更加困难。
病例报告
我们报告了一名37岁白种女性的病例，她因脊髓拴系综合征接受了多次手术干预。这些干预导致她下背部和右腿出现严重的神经性疼痛。通过术中感觉映射进行脊髓刺激治疗了这种疼痛，这使得脊髓能够最佳地放置在更靠尾侧的位置。
结论
低电压且放置更靠尾侧的电极是这种脊髓拴系综合征治疗方法的特定特征。
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