van der Spek Daniël P C, van der Marel Caroline D, de Vos Cecile C, Huygen Frank J P M, Dirckx Maaike
Department of Anaesthesiology, Centre for Pain Medicine, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.
Department of Anaesthesiology, Erasmus MC-Sophia Children's Hospital, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Case Rep Womens Health. 2024 Oct 9;44:e00652. doi: 10.1016/j.crwh.2024.e00652. eCollection 2024 Dec.
Neurostimulation, for example dorsal root ganglion stimulation (DRGS), is increasingly used for managing chronic pain, including among women of reproductive age. We present the case of a 33-year-old patient with complex regional pain syndrome (CRPS) implanted with DRGS who subsequently became pregnant twice. Both pregnancies resulted in the delivery of healthy newborns via caesarean section under successful spinal anaesthesia, with no (device) complications. This case highlights the special considerations for managing pregnant patients with neurostimulation implants, including the differences between DRGS implants and other neurostimulators in the context of neuraxial anaesthesia and the continued use of neurostimulation during pregnancy.
神经刺激，例如背根神经节刺激（DRGS），越来越多地用于治疗慢性疼痛，包括育龄女性。我们报告了一例33岁患有复杂性区域疼痛综合征（CRPS）的患者，植入DRGS后两次怀孕。两次妊娠均在成功的脊髓麻醉下通过剖宫产分娩出健康的新生儿，无（设备）并发症。该病例突出了管理植入神经刺激装置的孕妇的特殊注意事项，包括在神经轴麻醉背景下DRGS植入物与其他神经刺激器的差异以及孕期神经刺激的持续使用。
