Horita Mikiko, Yasuhira Ayumi, Hirakawa Mikako, Watanabe Aisa, Higaki Nobuhiro, Nishihara Tasuku, Yorozuya Toshihiro
Department of Anesthesia and Perioperative Medicine, Ehime University Graduate School of Medicine, Toon, Ehime, 791-0295, Japan.
JA Clin Rep. 2023 Oct 21;9(1):68. doi: 10.1186/s40981-023-00660-6.
Reports on the effectiveness of spinal cord stimulation (SCS) for the alleviation of fibromyalgia syndrome (FMS) pain are scarce. We report two cases of effective high-frequency SCS at 1000 Hz against upper- and lower-limb pain in patients with FMS.
Two women with widespread pain were diagnosed with FMS and the pain gradually worsened. A 1-week SCS trial was conducted in each patient. In both cases, the patients complained of unpleasant sensations during 10-Hz SCS. However, the pain was alleviated after 1000-Hz stimulation without irritation. Therefore, leads and a generator were implanted, after which they felt almost no pain. Moreover, the dose of the oral medication could be reduced and the patients returned to their daily lives.
SCS at 1000 Hz may effectively treat pain associated with FMS. Therefore, performing an SCS trial for patients with FMS with intractable pain might be worthwhile.
关于脊髓刺激（SCS）缓解纤维肌痛综合征（FMS）疼痛有效性的报道较少。我们报告了两例采用1000赫兹高频SCS治疗FMS患者上肢和下肢疼痛有效的病例。
两名患有广泛性疼痛的女性被诊断为FMS，且疼痛逐渐加重。对每名患者进行了为期1周的SCS试验。在这两个病例中，患者在10赫兹SCS期间均抱怨有不适感。然而，在1000赫兹刺激后疼痛得到缓解且无刺激感。因此，植入了电极和发生器，此后她们几乎感觉不到疼痛。此外，口服药物剂量可以减少，患者恢复了日常生活。
1000赫兹的SCS可能有效治疗与FMS相关的疼痛。因此，对患有顽固性疼痛的FMS患者进行SCS试验可能是值得的。
