Centre of Pain Management, Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
World Neurosurg. 2020 Oct;142:388-390. doi: 10.1016/j.wneu.2020.06.231. Epub 2020 Jul 9.
In children, erythromelalgia is a rare but difficult to manage condition that results in bilateral episodic pain and redness in distal extremities. It is heat intolerant and relieved by cooling. Management of erythromelalgia is difficult and requires a complex multidisciplinary approach.
We present a case of successful treatment of erythromelalgia with short-term spinal cord stimulation in a 12-year-old girl. The patient had severe burning pain, having undergone trials of multiple medical therapies before presenting to our department. Dual-lead spinal cord stimulator electrodes were successfully implanted without complication, leading to excellent pain control, now 8 months postimplant.
This case spurs interest for future research in neuromodulation as part of the multimodal regimen to treat pediatric erythromelalgia.
在儿童中，红斑性肢痛症是一种罕见但难以治疗的疾病，会导致双下肢远端间歇性疼痛和发红。它不耐热，可通过降温缓解。红斑性肢痛症的治疗很困难，需要采用复杂的多学科方法。
我们报告了一例 12 岁女孩成功接受短期脊髓刺激治疗红斑性肢痛症的病例。该患者疼痛剧烈，烧灼感明显，在就诊于我们科室之前已经尝试了多种药物治疗。双导联脊髓刺激器电极成功植入，无并发症，植入后 8 个月时疼痛得到了极好的控制。
该病例激发了人们对未来神经调节研究的兴趣，将其作为治疗儿童红斑性肢痛症的多模式治疗方案的一部分。
