Anesthesiology, Eugenio Espejo Hospital of Specialties, Quito, Pichincha, Ecuador.
Teaching and Research, Eugenio Espejo Hospital of Specialties, Pichincha, Quito, Ecuador
BMJ Case Rep. 2021 May 19;14(5):e242522. doi: 10.1136/bcr-2021-242522.
Transverse myelitis is an inflammatory disease of the central nervous system that disrupts nerve signals' conduction. The illness is characterised by weakness in the lower limbs accompanied by paresthesia and urinary and bowel incontinence. The most disabling sequel is the onset of chronic neuropathic pain, which can severely limit the patient's independence and negatively affect her quality of life. We present the case of a patient who received a spinal neurostimulator after a failure of conventional medical treatment. Masking pain through paresthesia, a mechanism provided by the device significantly reduces pain perception. The treatment success in our patient represents an advance in pain therapy.
横断性脊髓炎是一种中枢神经系统炎症性疾病，会破坏神经信号的传导。该病的特征是下肢无力，伴有感觉异常以及尿便失禁。最致残的后果是出现慢性神经性疼痛，这可能严重限制患者的独立性并对其生活质量产生负面影响。我们报告了一例患者，在常规药物治疗失败后接受了脊髓神经刺激器治疗。通过设备提供的感觉异常来掩盖疼痛，这一机制显著降低了疼痛感知。我们的患者治疗成功代表了疼痛治疗的一项进展。
