상지 복합부위통증증후군 환자에서 경부 척수자극술 증례 보고
Cervical Spinal Cord Stimulation in a Patient with Complex Regional Pain Syndrome in the Upper Extremity A case report
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Abstract
Although the entire pathophysiology of complex regional pain syndrome (CRPS) has not been resolved, much evidence has shown that it is developed and maintained by abnormalities throughout the neuraxis, including the peripheral, central and autonomic nervous systems. Therefore, CRPS is actually composed of multiple patient subgroups, with different pathophysiologic mechanisms and environmental factors, all of which need different therapeutic approaches. Spinal cord stimulation has been reported to produce pain and symptom relief in an uncontrolled case series. A male patient, who had been suffering from CRPS in a right upper extremity, visited our pain clinic. Medication and sympathetic blockade produced little improvement in his symptoms and signs. A linear type spinal cord stimulator was inserted into the cervical epidural space, using a non-surgical percutaneous approach, with the cephalad lead located at the C2 level. This resulted in significant pain relief and there were no complications or adverse effects, such as migration of the leads during head and neck motion in his routine life style.
참고문헌 (17)
- "C1-C2 sublaminar insertion of paddle leads for the management of chronic painful conditions of the upper extremity", 6, pp.153~157 (2003)
- "대상포진후신경통에 시행된 실험적 척수자극술시 예측치 못한 추간판 탈출증 증상의 개선", 14, pp.110~113 (2001)
- "Complex regional pain syndrome-diagnostic,mechanisms,CNS involvement and therapy", 41, pp.61~75 (2003)
- "Patterns of cortical reorganization in complex regional pain syndrome", 61, pp.1707~1715 (2003)
- "Complex regional pain syndrome: symptoms, singns, and differential diagnosis. In: Reflex sympathetic dystrophy: A reappraisal", pp.79~92 (1996), IASP Press
- "Electrical inhibition of pain by stimulation of the dorsal column", 46, pp.489~91 (1967)
- "Neuroaugmentation in the treatment of complex regional pain syndrome of the upper extremity", 64, pp.57~63 (1998)
- "Economic evaluation of spinal cord stimulation for chronic reflex sympathetic dystrophy", 59, pp.1203~1209 (2002)
- "Spinal cord stimulation:mechanisms of action", 27, pp.2574~2583 (2002)
- "Cervical spinal cord stimulation for pain:a report on 41 patients", 6, pp.20~26 (2003)
- "Spinal cord stimulation for complex pain Initial experience with dual electrode programmable, internal pulse generator.", 3, pp.31~38 (2003)
- "Experience with 509 plate-electrodes implanted epidurally from C1 to L1", 61, pp.60~79 (1993)
- "Laminectomy versus percutaneous electrode placement for spinal cord stimulation", 46, pp.399~405 (2000)
- "Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome:a systemic review of effectiveness and complications", 108, pp.137~147 (2004)
- "Four year follow-up of dual electrode spinal cord stimulation for chronic pain", 5, pp.79~88 (2002)
- "Headache caused by a spinal cord stimulator in the upper cervical spine", 40, pp.689~691 (2000)
- "The cost effectiveness of spinal cord stimulation in the treatment of pain:a systematic review of the literature", 27, pp.370~378 (2004)