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Spinal Cauda Equina Stimulation for Alternative Location of Spinal Cord Stimulation in Intractable Phantom Limb Pain Syndrome -A Case Report-
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논문 기본 정보

Type
Academic journal
Author
Journal
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제29권 제2호 KCI Accredited Journals
Published
2016.1
Pages
123 - 128 (6page)

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Spinal Cauda Equina Stimulation for Alternative Location of Spinal Cord Stimulation in Intractable Phantom Limb Pain Syndrome -A Case Report-
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Phantom limb pain is a phenomenon in which patients experience pain in a part of the body that no longer exists. In several treatment modalities, spinal cord stimulation (SCS) has been introduced for the management of intractable post-amputation pain. A 46-year-old male patient complained of severe ankle and foot pain, following above-the-knee amputation surgery on the right side amputation surgery three years earlier. Despite undergoing treatment with multiple modalities for pain management involving numerous oral and intravenous medications, nerve blocks, and pulsed radiofrequency (RF) treatment, the effect duration was temporary and the decreases in the patient’s pain score were not acceptable. Even the use of SCS did not provide completely satisfactory pain management. However, the trial lead positioning in the cauda equina was able to stimulate the site of the severe pain, and the patient’s pain score was dramatically decreased. We report a case of successful pain management with spinal cauda equina stimulation following the failure of SCS in the treatment of intractable phantom limb pain. (Korean J Pain 2016; 29: 123-8)
#Cauda equina #Lower extremity pain #Neurostimulation #Phantom limb #Phantom limb pain #Spinal cord stimulation.

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References (24)

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Flor H / 2002 / Phantom-limb pain: characteristics, causes, and treatment / Lancet Neurol 1:182~189 google schola Sae Young Kim / 2012 / Mirror Therapy for Phantom Limb Pain / The Korean Journal of Pain 25(4):272~274 dbpia Ephraim PL / 2005 / Phantom pain, residual limb pain, and back pain in amputees: results of a national survey / Arch Phys Med Rehabil 86:1910~1919 google schola Sherman RA / 1980 / A survey of current phantom limb pain treatment in the United States / Pain 8:85~99 google schola Nielson KD / 1975 / Phantom limb pain. Treatment with dorsal column stimulation / J Neurosurg 42:301~307 google schola

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