복합부위통증증후군 환자에서 척수자극술과 교감신경 고주파열응고술 - 증례 보고 -
Thoracic Spinal Cord Stimulation and Radiofrequency Thermocoagulation of Lumbar Sympathetic Ganglion in a Patient with Complex Regional Pain Syndrome in the Lower Extremity - A case report -
2
조회
0
다운로드
1
인용
0
참고문헌
초록
Abstract
Herein is described the successful treatment of complex regional pain syndrome type II with the combination treatment of spinal cord stimulation and radiofrequency thermocoagulation of the lumbar sympathetic ganglion. A 62 years old male patient, suffering from CRPS type II in his left lower extremity, visited our pain clinic. Medication and nerve blockade produced only slight improvement in his symptoms and signs. Therefore, a linear type spinal cord simulator was inserted into the thoracic epidural space, using a non-surgical percutaneous approach, with the cephalad lead located at the T11 level. Two months later, the repositioning of the electrode to the T12 level for more effective pain control, with radiofrequency thermocoagulation of lumbar sympathetic ganglion also performed at the left L2 and 3 levels for the control of trophic change. These resulted in significant pain relief and decreased trophic change, with no complications, after which the patient was able to resume a normal life.
참고문헌 (19)
- "Complex regional pain syndrome-diagnostic,mechanisms,CNS involvement and therapy", 41, pp.61~75 (2003)
- "including "reflex sympathetic dystrophy" and "causalgia", 25, pp.113~25 (1997), including
- "Complex Regional Pain Syndromes:guidelines for therapy", 14, pp.155~66 (1998)
- "Complex regional pain syndrome", 77, pp.174~80 (2002)
- "Complex regional pain syndrome", 252, pp.131~8 (2005)
- "IASP diagnostic criteria for complex regional pain syndrome:a preliminary empirical validation study", 14, pp.48~54 (1998)
- "Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome:a systematic review of effectiveness and complications", 108, pp.137~47 (2004)
- "New trends in neuromodulation for the management of neuropathic pain", 50, pp.690~703 (2002)
- "Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy", 343, pp.618~24 (2000)
- "Spinal cord stimulation for complex regional pain syndrome:a prospective study of 19 patient at two centers", 2, pp.47~50 (1999)
- "Spinal cord stimulation:mechanisms of action", 27, pp.2574~83 (2002)
- "Cervical spinal cord stimulation in a Patient with complex regional pain syndrome in the upper extremity", 17, pp.243~7 (2004)
- "Sympathetic mechanisms in cerebral blood flow alterations induced by spinal cord stimulation", 99, pp.754~61 (2003)
- "Technical Performance of percutaneous leads for spinal cord stimulation:a model study", 2, pp.88~99 (2005)
- "Laminectomy versus percutaneous electrode placement for spinal cord stimulation", 46, pp.399~405 (2000)
- "Sympathectomy for complex regional pain syndrome", 37, pp.508~11 (2003)
- "Sympathetic sprouting in the dorsal root ganglia of the injured peripheral nerve in a rat neuropathic pain model", 376, pp.241~52 (1996)
- "A case of treatment of complex regional pain syndrome Type II after peroneal nerve injury", 15, pp.183~9 (2002)
- "Radiofrequency techniques in clinical practice Edited by Waldmann SD", pp.243~93 (2001), WB Sauders Company