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周围神经刺激治疗臀上皮神经痛：一种新型电极放置技术的尸体演示

Peripheral Nerve Stimulation for the Treatment of Superior Cluneal Neuralgia: A Cadaver Demonstration of a Novel Technique for Lead Placement.

作者信息

Abd-Elsayed Alaa, Gyorfi Michael J

机构信息

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

出版信息

J Pain Res. 2024 Mar 20;17:1235-1241. doi: 10.2147/JPR.S450177. eCollection 2024.

DOI:10.2147/JPR.S450177
PMID:38532992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10964024/
Abstract

Superior cluneal neuralgia (SCN) is a distinct cause of lower back and/or leg pain related to pathology of the superior cluneal nerve. When assessing a patient with low back pain (LBP), superior cluneal neuralgia is frequently misdiagnosed. The pathophysiology of SCN ranges from myofascial compression brought on by aberrant muscle tone to direct iatrogenic injury or trauma. In this technical report we will discuss the anatomy of superior cluneal nerve, superior cluneal neuralgia, current treatment modalities, and a novel approach to peripheral nerve stimulation (PNS) lead placement via a cadaver demonstration for SCN.

摘要

臀上皮神经痛（SCN）是一种与臀上皮神经病变相关的下背部和/或腿部疼痛的独特病因。在评估下腰痛（LBP）患者时，臀上皮神经痛经常被误诊。SCN的病理生理学范围从异常肌张力引起的肌筋膜压迫到直接的医源性损伤或创伤。在本技术报告中，我们将讨论臀上皮神经的解剖结构、臀上皮神经痛、当前的治疗方式，以及通过尸体演示为SCN进行外周神经刺激（PNS）电极放置的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/aebc96b747ee/JPR-17-1235-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/0582f66dbc1e/JPR-17-1235-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/2b02af84b26f/JPR-17-1235-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/336f25ed0031/JPR-17-1235-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/5a226852deb9/JPR-17-1235-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/961a16c778f6/JPR-17-1235-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/aebc96b747ee/JPR-17-1235-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/0582f66dbc1e/JPR-17-1235-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/2b02af84b26f/JPR-17-1235-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/336f25ed0031/JPR-17-1235-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/5a226852deb9/JPR-17-1235-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/961a16c778f6/JPR-17-1235-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/10964024/aebc96b747ee/JPR-17-1235-g0006.jpg

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本文引用的文献

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Enhancing diagnosis and treatment of superior cluneal nerve entrapment: cadaveric, clinical, and ultrasonographic insights.提高臀上皮神经卡压症的诊断与治疗水平：尸体解剖、临床及超声检查的见解
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高频电磁耦合（HF-EMC）供电的植入式接收器进行外周神经刺激治疗不同疼痛靶点/神经痛的疗效
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Peripheral Nerve Stimulation for Treatment of Cluneal Neuropathy Case Study.周围神经刺激治疗臀上皮神经病变病例研究
Cureus. 2022 Aug 15;14(8):e28033. doi: 10.7759/cureus.28033. eCollection 2022 Aug.
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Superior Cluneal Neuralgia Treated With Wireless Peripheral Nerve Stimulation.无线周围神经刺激治疗臀上皮神经痛
Cureus. 2022 Mar 31;14(3):e23711. doi: 10.7759/cureus.23711. eCollection 2022 Mar.
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Radiofrequency Ablation of the Superior Cluneal Nerve: A Novel Minimally Invasive Approach Adopting Recent Anatomic and Neurosurgical Data.臀上皮神经的射频消融：一种采用最新解剖学和神经外科数据的新型微创方法。
Pain Ther. 2022 Jun;11(2):655-665. doi: 10.1007/s40122-022-00385-x. Epub 2022 Apr 17.
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