Department of Physical Medicine & Rehabilitation, Hospital Professor Doctor Fernando Fonseca, Amadora, Portugal.
Department of Anesthesiology & Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, M5T 2S8, Canada.
Pain Manag. 2022 Oct;12(7):813-819. doi: 10.2217/pmt-2022-0056. Epub 2022 Sep 6.
This case report documents the use of peripheral nerve stimulation in the setting of entrapment of the anterior cutaneous branches of the intercostal nerves, with pain rated by the patient as severe during exacerbation episodes. Under ultrasound guidance, two permanent leads were implanted caudad to cephalad, along and superficial to the lateral aspect of the rectus abdominis, distal to the umbilicus (1 lead per side). At the 6 month follow-up, the patient reported near complete resolution of baseline pain, as well as fewer, sporadic pain exacerbation episodes, rated as mild-to-moderate. This case report suggests that peripheral nerve stimulation might be a valuable treatment option for previously intractable abdominal pain due to entrapment of the anterior cutaneous branches.
本病例报告记录了外周神经刺激在肋间神经前皮支卡压情况下的应用，患者在发作期疼痛严重程度评为重度。在超声引导下，两根永久性电极被植入顺行、头侧，沿着腹直肌外侧并位于其浅层，脐部远端（每侧一根电极）。在 6 个月的随访中，患者报告基线疼痛几乎完全缓解，且偶发的疼痛发作次数减少，疼痛强度评为轻度至中度。本病例报告提示，外周神经刺激可能是一种有价值的治疗选择，可用于治疗先前因肋间神经前皮支卡压导致的顽固性腹痛。
