周围神经刺激治疗偏瘫肩痛
Peripheral Nerve Stimulation for the Treatment of Hemiplegic Shoulder Pain.
作者信息
Hasoon Jamal, Dalal Suhani, Berger Amnon A, Orhurhu Vwaire, Kaye Alan D
机构信息
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School; Pain Specialists of America.
A.T. Still University School of Medicine.
出版信息
Orthop Rev (Pavia). 2021 Aug 12;13(2):27362. doi: 10.52965/001c.27362. eCollection 2021.
Hemiplegic shoulder pain (HSP) is a common comorbidity affecting stroke survivors. It can lead to chronic pain in a significant portion of patients. Prompt recognition and treatment may lead to improved outcomes, though it can be very challenging to treat. Peripheral nerve stimulation (PNS) has shown significant promise as a treatment modality for HSP. We present an interesting case of a patient with debilitating HSP that was unresponsive to a variety of medications and prior neuromodulation therapies. We report our experience utilizing the SPRINT PNS system and our outcomes treating a patient with refractory HSP.
偏瘫肩痛（HSP）是影响中风幸存者的常见合并症。它会导致相当一部分患者出现慢性疼痛。尽管治疗极具挑战性，但及时识别和治疗可能会改善预后。外周神经刺激（PNS）作为一种治疗HSP的方式已显示出巨大潜力。我们介绍了一例患有严重HSP的患者的有趣病例，该患者对多种药物和先前的神经调节疗法均无反应。我们报告了使用SPRINT PNS系统的经验以及治疗一名难治性HSP患者的结果。
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