Neuropathic pain after spinal cord injury resistant to conventional therapies - case report.
作者信息
Daszkiewicz Andrzej, Gierlotka Zbigniew, Nierodziński Wojciech, Misiołek Aleksandra, Misiołek Hanna
机构信息
Zakład Badania i Leczenia Bólu, Katedra i Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu ŚUM w Katowicach.
Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Katedra i Oddział Kliniczny Psychiatrii w Tarnowskich Górach ŚUM w Katowicach.
出版信息
Psychiatr Pol. 2016;50(2):345-355. doi: 10.12740/PP/40066.
OBJECTIVES
There are patients with neuropathic pain in whom the treatment is ineffective, despite the fact that is conducted with adherence to the current guidelines. In these patients alternative treatment methods such as hypnosis could be effective.
METHODS
The paper presents a case of a 58-year-old man with central neuropathic pain after cervical spinal cord injury. The conservative treatment with antiepileptics including gabapentoids), antidepressants (tricyclic and selective noradrenaline and serotonin inhibitor - SNRI) and opioids was not effective. In the pain management centre the celiac plexus stimulation and neuromodulation was performed, however, with no positive results. The patient was referred to the psychiatrist using hypnosis in his medical practice.
RESULTS
The psychiatrist qualified the patient to pain treatment with hypnosis. After several hypnotic sessions the pain intensity score in numeric rating scale (NRS) decreased from NRS 7 to NRS 5 points and became acceptable for the patient.
CONCLUSIONS
Hypnosis can be considered an effective method of neuropathic pain treatment in some patients.
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