Meier Kaare, Bendtsen Thomas F, Sørensen Jens Christian, Nikolajsen Lone
From the Departments of *Anesthesiology and †Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
A A Case Rep. 2017 Jan 15;8(2):29-30. doi: 10.1213/XAA.0000000000000413.
Neuroma pain can be severe, persistent, and treatment resistant. We present a case of a 37-year-old female amputee who suffered from severe neuroma pain, which had proved resistant to pharmacologic treatment, glycerol injections, spinal cord stimulation, radiofrequency thermocoagulation, and repeated surgical removals. After treatment with peripheral nerve stimulation, using a St. Jude Medical Octrode lead implanted percutaneously under ultrasound guidance close to her painful neuroma, her ongoing pain dramatically decreased from 8 to 3 on a numeric rating scale (0-10). Peripheral neuromodulation is a promising relatively new treatment that can be used for neuroma pain.
神经瘤疼痛可能很严重、持续存在且难以治疗。我们报告一例37岁女性截肢者，她患有严重的神经瘤疼痛，已证明对药物治疗、甘油注射、脊髓刺激、射频热凝以及反复手术切除均无效。在采用外周神经刺激治疗后，使用圣犹达医疗公司的八电极导线在超声引导下经皮植入到靠近她疼痛神经瘤的部位，她持续的疼痛在数字评分量表（0 - 10）上从8显著降至3。外周神经调节是一种有前景的相对较新的可用于治疗神经瘤疼痛的方法。
