Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
Pain Pract. 2020 Jan;20(1):88-94. doi: 10.1111/papr.12825. Epub 2019 Sep 12.
We present a case of a young woman diagnosed with complex regional pain syndrome (CRPS) who underwent spinal cord stimulator (SCS) implantation. She had 2 successful pregnancies following implantation.
We evaluated the electronic medical records of the patient following SCS implantation and while pregnant with her second and third children. A phone interview was conducted after her third pregnancy to discuss her experience with SCS use during and after pregnancy.
Physical medicine and rehabilitation pain management clinic and obstetrician clinic, affiliated with the Medical College of Wisconsin in Milwaukee, Wisconsin.
A 26-year-old woman with history of CRPS type I.
This 26-year-old woman was diagnosed with CRPS type I after left knee surgery. All conservative treatments had failed prior to her undergoing SCS implantation after the birth of her first child. SCS implantation brought near complete resolution of her symptoms. When she became pregnant with her second child, she turned off her SCS. Her CRPS symptoms intensified, but she had a normal pregnancy. She turned the SCS back on postpartum and elected to continue its use throughout her third pregnancy. She had a normal pregnancy, and her CRPS symptoms were well controlled. The patient and her children are currently healthy. Her SCS remains functional and effective.
Both an SCS and many medications used for pain management in CRPS could cause harm to both mother and fetus in pregnancy. Further research must be done to determine the safety and efficacy of SCS use in pregnancy.
我们报告了一例年轻女性被诊断为复杂性区域疼痛综合征（CRPS），并接受了脊髓刺激器（SCS）植入。她在植入后成功怀孕两次。
我们评估了患者在 SCS 植入后和怀第二胎、第三胎时的电子病历。在她第三次怀孕后进行了电话访谈，讨论她在怀孕期间和之后使用 SCS 的经验。
威斯康星州密尔沃基市威斯康星医学院的物理医学和康复疼痛管理诊所和妇产科诊所。
一位 26 岁的女性，有 I 型 CRPS 病史。
这位 26 岁的女性在左膝手术后被诊断为 I 型 CRPS。在她接受第一个孩子出生后的 SCS 植入之前，所有的保守治疗都失败了。SCS 植入几乎完全缓解了她的症状。当她怀上第二个孩子时，她关闭了 SCS。她的 CRPS 症状加剧，但她的妊娠正常。她在产后重新打开 SCS，并选择在整个第三个怀孕期间继续使用。她的妊娠正常，CRPS 症状得到很好的控制。患者和她的孩子们目前都很健康。她的 SCS 仍然功能正常且有效。
SCS 和用于 CRPS 疼痛管理的许多药物在怀孕期间都可能对母亲和胎儿造成伤害。必须进一步研究以确定 SCS 在怀孕期间使用的安全性和有效性。
