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一例采用脊髓神经刺激器治疗股生殖神经术后疼痛性神经病变的病例报告

A Case Report on Spinal Neurostimulator Treatment for Painful Postsurgical Neuropathy of the Genitofemoral Nerve.

作者信息

Medina-Pérez Juan J, Vega-Rosas Andrés, Rodríguez-Méndez Luis, Coubert-Pelayo Silvia G

机构信息

Pain Management Center, Hospital Ángeles Mocel, Mexico City, MEX.

Pain Clinic, Hospital Escandón, Mexico City, MEX.

出版信息

Cureus. 2023 Jul 23;15(7):e42345. doi: 10.7759/cureus.42345. eCollection 2023 Jul.

Abstract

Painful postsurgical neuropathy is an adverse event inherent to a wide variety of surgical treatments, so its diagnosis and specialized treatment are essential to maintaining the quality of life of the people who suffer from it. We present the case of a 31-year-old male with neuropathy of the genitofemoral nerve diagnosed by electromyography, resulting in intractable left testicular and thigh pain associated with a recent history of ipsilateral inguinal hernioplasty. After assessment by pain medicine and motor and sensory tests, a neurostimulator was placed in T8-T9 with action at the L1-L2 level, as well as a simultaneous electrode in S3, generating optimal pain relief and recovery of functionality.

摘要

术后疼痛性神经病变是多种外科治疗中固有的不良事件,因此其诊断和专科治疗对于维持患者的生活质量至关重要。我们报告一例31岁男性,经肌电图诊断为生殖股神经病变,导致顽固性左侧睾丸和大腿疼痛,近期有同侧腹股沟疝修补术病史。在经过疼痛医学评估以及运动和感觉测试后,在T8 - T9置入神经刺激器,作用于L1 - L2水平,同时在S3置入电极,实现了最佳的疼痛缓解和功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3150/10445000/1ba9aa0810fa/cureus-0015-00000042345-i01.jpg

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