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一名患有复杂性区域疼痛综合征的患者在植入颈脊髓刺激器后出现可逆性霍纳综合征。

Reversible Horner's syndrome after cervical spinal cord stimulator implantation in a patient with complex regional pain syndrome.

作者信息

Yang Jaeyoung, Choi Yusun, Park Juyoung, Jeong Junhyug, Lee Bousung, Lee Kwanghaeng, Lee Jaedo, Choi Rakmin

机构信息

Department of Anesthesiology and Pain Medicine, Veterans Health Service Medical Center, Seoul, South Korea,

出版信息

J Pain Res. 2018 Nov 27;11:3019-3023. doi: 10.2147/JPR.S182345. eCollection 2018.

DOI:10.2147/JPR.S182345
PMID:30568482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6267498/
Abstract

We successfully performed cervical spinal cord stimulator (SCS) surgery in a 27-year-old man with complex regional pain syndrome to control intractable pain. The SCS trial was performed twice to adjust the SCS coverage region. After permanent implantation surgery, the patient developed Horner's syndrome when the region near the C4 spinal dorsal root was stimulated. However, Horner's syndrome disappeared after changing the stimulation leads. This case report suggests that cervical SCS can be associated with superior cervical ganglion stimulation.

摘要

我们成功地为一名患有复杂性区域疼痛综合征的27岁男性实施了颈脊髓刺激器(SCS)手术,以控制顽固性疼痛。进行了两次SCS试验以调整SCS覆盖区域。永久植入手术后,当刺激C4脊髓背根附近区域时,患者出现了霍纳综合征。然而,更换刺激电极后霍纳综合征消失。本病例报告提示颈段SCS可能与颈上神经节刺激有关。

相似文献

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J Pain Res. 2018 Nov 27;11:3019-3023. doi: 10.2147/JPR.S182345. eCollection 2018.
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Neuromodulation. 2021 Jun;24(4):769-773. doi: 10.1111/ner.13144. Epub 2020 Mar 11.
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本文引用的文献

1
Supraspinal Mechanisms of Spinal Cord Stimulation for Modulation of Pain: Five Decades of Research and Prospects for the Future.脊髓刺激调制疼痛的脊髓上机制:五十年的研究与未来展望。
Anesthesiology. 2019 Apr;130(4):651-665. doi: 10.1097/ALN.0000000000002353.
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A review of spinal cord stimulation systems for chronic pain.慢性疼痛脊髓刺激系统综述
J Pain Res. 2016 Jul 1;9:481-92. doi: 10.2147/JPR.S108884. eCollection 2016.
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Complex regional pain syndrome.复杂性区域疼痛综合征。
BMJ. 2015 Jul 29;351:h2730. doi: 10.1136/bmj.h2730.
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Horner's Syndrome Secondary to Epidural Anaesthesia Following Posterior Instrumented Scoliosis Correction.后路器械矫正脊柱侧弯后硬膜外麻醉继发霍纳综合征
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Neuromodulation. 2014 Aug;17(6):571-97; discussion 597-8. doi: 10.1111/ner.12206.
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Present and potential use of spinal cord stimulation to control chronic pain.脊髓刺激在控制慢性疼痛方面的当前及潜在应用。
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Spinal cord stimulation as treatment for complex regional pain syndrome should be considered earlier than last resort therapy.脊髓刺激作为治疗复杂性区域疼痛综合征的方法应被视为早期而非常规的治疗选择。
Neuromodulation. 2013 Mar-Apr;16(2):125-41. doi: 10.1111/ner.12035. Epub 2013 Feb 26.
8
Treatment of complex regional pain syndrome in adults: a systematic review of randomized controlled trials published from June 2000 to February 2012.成人复杂性区域疼痛综合征的治疗:2000 年 6 月至 2012 年 2 月发表的随机对照试验的系统评价。
Eur J Pain. 2013 Feb;17(2):158-73. doi: 10.1002/j.1532-2149.2012.00217.x. Epub 2012 Oct 5.
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Current-distance relationships for peripheral nerve stimulation localization.外周神经刺激定位的远近关系。
Anesth Analg. 2011 Jan;112(1):236-41. doi: 10.1213/ANE.0b013e3181fca16b. Epub 2010 Oct 21.
10
[Efficacy of opioid analgesia at the superior cervical ganglion in neuropathic head and facial pain].[颈上神经节阿片类镇痛在神经性头面部疼痛中的疗效]
Schmerz. 2006 Aug;20(4):268-72, 274-6. doi: 10.1007/s00482-005-0460-5.