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[1例脊髓损伤后痉挛经硬膜外脊髓刺激改善的病例]

[A case of spasticity following spinal cord injury improved by epidural spinal cord stimulation].

作者信息

Nomura Y, Fukuuchi A, Iwade M, Mukuboh Y, Kawamata M, Suzuki H, Katoh Y, Itoh T

机构信息

Department of Anesthesiology, Tokyo Women's Medical College.

出版信息

Masui. 1995 May;44(5):732-4.

PMID:7609306
Abstract

Epidural spinal cord stimulation was performed in a patient complaining of spasticity with intractable pain after operation of metastatic spinal tumor. The end of the electrode was positioned along a line extending down the 11th vertebral body. Following confirmation of satisfactory effects during 10 days of trial stimulation, the electrode was permanently implanted. Excellent pain relief (80%) and significant relaxation of spasticity resulted in a medication free period with improved daily activities. Although the treatment of this case resulted in clinical success, the problem concerning the payment of the transmitter remained. We hope that the health insurance system will extend its indications to cover medical fees for the transmitter.

摘要

对一名转移性脊柱肿瘤手术后出现痉挛并伴有顽固性疼痛的患者进行了硬膜外脊髓刺激治疗。电极末端沿第11椎体向下延伸的一条线放置。在进行了10天的试验性刺激并确认效果良好后,将电极永久植入。出色的疼痛缓解效果(80%)和痉挛的显著缓解使患者进入了无需服药阶段,日常活动也得到了改善。尽管该病例的治疗取得了临床成功,但发射器费用支付的问题依然存在。我们希望医疗保险系统能扩大其适应症范围,以涵盖发射器的医疗费用。

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