Consultant Neurosurgeon, Institute of Neurosciences, Medanta The Medicity, Gurgaon, Haryana, India.
Senior Consultant Neurosurgeon, Institute of Neurosciences, Medanta The Medicity, Gurgaon, Haryana, India.
Br J Neurosurg. 2023 Aug;37(4):663-665. doi: 10.1080/02688697.2018.1552755. Epub 2019 Jan 12.
Complex regional pain syndrome (CRPS) is a chronic neuropathic painful condition, sometimes associated with spinal myoclonus. For intractable cases spinal cord stimulation is an important modality of treatment but the response of specifically myoclonus to this treatment is not well described.
A 40-year old male, had a history of trauma 12 years back since when he had intractable neuropathic pain in his both upper limbs with superimposed severely disabling myoclonic jerks. He had been through multiple treatment failures. We inserted a cervical spinal cord stimulator which led to immediate cessation of myoclonic jerks, with significant improvement in visual analogue score and Oswestry disability index.
In patients of chronic intractable cervico-brachial pain disorder with superimposed myoclonus, cervical spinal cord stimulation may be effective against the myoclonus as well as the pain.
复杂性区域疼痛综合征（CRPS）是一种慢性神经性疼痛疾病，有时伴有脊髓肌阵挛。对于难治性病例，脊髓刺激是一种重要的治疗方式，但这种治疗对肌阵挛的具体反应尚未得到很好的描述。
一名 40 岁男性，12 年前曾有外伤史，此后他的双臂一直患有难以忍受的神经性疼痛，并伴有严重的致残性肌阵挛。他已经经历了多次治疗失败。我们为他植入了一个颈椎脊髓刺激器，这立即导致肌阵挛停止，视觉模拟评分和 Oswestry 残疾指数都有显著改善。
对于伴有肌阵挛的慢性难治性颈臂疼痛障碍患者，颈椎脊髓刺激可能对肌阵挛和疼痛都有效。
