East Tennessee State University Quillen College of Medicine, 178 Maple Ave., Mountain Home, TN 37684, USA.
Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, 550 N. Broadway, Suite 301, Baltimore, MD 21205, USA.
Pain Manag. 2022 Mar;12(2):123-129. doi: 10.2217/pmt-2021-0065. Epub 2021 Aug 12.
Approximately one in five adults in the United States experiences chronic pain. Over the last 50 years, spinal cord stimulation has become increasingly recognized as a minimally invasive, efficacious treatment modality for the management of chronic pain. The authors report a case study of a 46-year-old female in the first documented spinal cord stimulation simultaneously targeting intractable neuropathic and visceral pain caused by post-laminectomy syndrome and chronic pancreatitis, respectively. This case study demonstrates near-total relief of the patient's neuropathic low back/leg pain and visceral epigastric pain, showing evidence of potential clinical usefulness for spinal cord stimulation as a treatment option in patients who present with a combination of visceral and somatic pain symptoms.
大约五分之一的美国成年人患有慢性疼痛。在过去的 50 年中，脊髓刺激已越来越被认为是一种微创、有效的治疗慢性疼痛的方法。作者报告了一例 46 岁女性的病例研究，她的脊髓刺激是首次被记录在案的，同时针对由椎板切除术后综合征和慢性胰腺炎引起的难治性神经性和内脏性疼痛。该病例研究表明，患者的神经性腰痛/腿痛和内脏上腹痛几乎完全缓解，这表明脊髓刺激作为一种治疗选择，对同时存在内脏和躯体疼痛症状的患者具有潜在的临床应用价值。
