Spinal Cord Epidurial Stimulation for Neuropathic Pain Syndrome Treatment of Disseminated Sclerosis Patient

Purpose of the work. The article is devoted to the first experience of epidural stimulation in the Khanty-Mansiysk Autonomous Okrug at the budgetary institution Surgut Clinical Trauma Hospital. Clinical examples are presented for two main indications for the application of this technique (disease of the operated spine, a consequence of spinal cord injury in combination with chronic neuropathic pain syndrome). Research methods. An assessment of the intensity of pain syndrome was given according to a visual analogue scale, the Pain Detect questionnaire; indicators of anxiety, depression on the HADS scale; quality of life according to the Oswestry questionnaire for a follow-up period of 6-12 months in patients with chronic epidural stimulation. Results. A positive assessment of the action during test neurostimulation was 63.3% (38 patients). Of the established permanent systems, a good result was achieved and persisted for 12 months or more in 96% (24 patients). It was necessary to change the stimulation parameters in 13% (3 patients). Revision of permanent systems was performed in 20% (5 patients), due to the progression of the degenerative-dystrophic process of the spine, damage and migration of system elements. Conclusions. Chronic epidural spinal cord stimulation has established itself as a personalized, highly effective, minimally invasive and safe method of treating chronic neuropathic pain syndromes. Multicomponent corrective action is of scientific interest and requires further study.

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Functional and Metabolic Changes in the Brain in Neuropathic Pain Syndrome against the Background of Chronic Epidural Electrostimulation of the Spinal Cord

Bulletin of Experimental Biology and Medicine ◽

10.1007/s10517-014-2591-0 ◽

2014 ◽

Vol 157 (4) ◽

pp. 462-465 ◽

Cited By ~ 5

Author(s):

A. A. Sufianov ◽

A. G. Shapkin ◽

G. Z. Sufianova ◽

V. G. Elishev ◽

D. A. Barashin ◽

...

Keyword(s):

Spinal Cord ◽

Neuropathic Pain ◽

Pain Syndrome ◽

Metabolic Changes ◽

Neuropathic Pain Syndrome ◽

The Brain

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Differential approach to selection of surgical treatment method of neuropathic pain syndrome at patients with consequences of traumatic and non-traumatic spinal cord injuries

Ukrainian Neurosurgical Journal ◽

10.25305/unj.89652 ◽

2010 ◽

Vol 0 (2) ◽

pp. 45-50

Author(s):

V. I. Tsymbalyuk ◽

Yu. Ya. Yaminsky

Keyword(s):

Spinal Cord ◽

Neuropathic Pain ◽

Surgical Treatment ◽

Spinal Cord Injuries ◽

Pain Syndrome ◽

Treatment Method ◽

Neuropathic Pain Syndrome ◽

Differential Approach ◽

Selection Of

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Faculty Opinions recommendation of Placebo response changes depending on the neuropathic pain syndrome: results of a systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717997054.793474154 ◽

2013 ◽

Author(s):

Nanna Finnerup

Keyword(s):

Systematic Review ◽

Neuropathic Pain ◽

Meta Analysis ◽

Placebo Response ◽

Pain Syndrome ◽

Neuropathic Pain Syndrome

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Neuropathic pain syndrome as an occult manifestation of injury of the spinal cord after surgical repair of aortic coarctation

Cardiology in the Young ◽

10.1017/s1047951100009744 ◽

2000 ◽

Vol 10 (4) ◽

pp. 413-415 ◽

Cited By ~ 3

Author(s):

Luc M Beauchesne ◽

Angela Mailis ◽

Gary D Webb

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Aortic Coarctation ◽

Surgical Repair ◽

Rare Complication ◽

Pain Syndrome ◽

Neuropathic Pain Syndrome ◽

Cord Injury ◽

Unusual Symptoms ◽

Arterial Branch

AbstractInjury to the spinal cord injury with paraplegia, is a rare complication of surgical repair of aortic coarctation recognized immediately post-operatively. We present the case of a 41-year-old male undergoing surgery for restenosis at the site of a repair. Intra-operatively, he suffered inadvertent injury to an intercostal arterial branch during isolation of the aorta below the graft. Over the following months, he developed unusual symptoms involving the legs and genitourinary tract which, only after extensive investigations, were attributed to ischemic damage to the spinal cord related to the surgery. We suspect that similar syndromes reflecting injury to the spinal cord injury may be unrecognized following surgical repair of coarctation.

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Spinal Cord Electrical Stimulation for Refractory Angina Treatment

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0036-1594256 ◽

2017 ◽

Vol 38 (04) ◽

pp. 272-278

Author(s):

Gustavo Veloso Lages ◽

Jose Oswaldo Oliveira Júnior

Keyword(s):

Cardiovascular Disease ◽

Spinal Cord ◽

Neuropathic Pain ◽

Electrical Stimulation ◽

Visceral Pain ◽

Pain Syndrome ◽

Refractory Angina ◽

Family Disruption ◽

Appropriate Treatment ◽

Absence From Work

AbstractCardiovascular disease (CVD) is the main cause of death worldwide, including in Brazil. Angina pectoris is a challenging disease because its clinical manifestation is not always related to the degree of obstruction. Visceral pain from any source can be totally disabling. It influences all aspects of the life of a patient and it can be one of the main causes of absence from work and of family disruption. Spinal cord electrical stimulation (SCES) has been traditionally applied for the treatment of neuropathic pain, with good to excellent results. Visceral pain syndrome can be as debilitating and disabling as somatic or neuropathic pain; however, there seems to be a lack of consensus on the appropriate treatment and strategies for these disorders. The major difference of SCES for visceral pain, compared to postlaminectomy syndrome or to regional complex syndrome, is the number of stimulated dermatomes. In most viscera, the somatotopic arrangement has two to four medullar levels, sometimes requiring laterality. After reviewing the literature, we have concluded that SCES is now a viable, low-risk option with satisfactory results for the treatment of neuropathic and visceral pain; therefore, it can be used in refractory angina after the failure of standard therapy. However, further studies are required to increase the application and efficacy of this procedure in the clinical practice.

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Spinal cord stimulation in the treatment of neuropathic pain: Current perspectives of indications, cost-effectiveness, complications and results

Journal of Health Sciences ◽

10.17532/jhsci.2017.399 ◽

2017 ◽

Vol 7 (2) ◽

pp. 68-79 ◽

Cited By ~ 2

Author(s):

Bruno Camporeze ◽

Renata Faria Simm ◽

Iracema Araújo Estevão ◽

Luis Roberto Mathias Junior ◽

Paulo Henrique Pires de Aguiar ◽

...

Keyword(s):

Spinal Cord ◽

Neuropathic Pain ◽

Cost Effectiveness ◽

Literature Review ◽

Spinal Cord Stimulation ◽

Pain Syndrome ◽

Cost Effective ◽

Medical Conditions ◽

Reduction Of Pain ◽

Bibliographic Search

Introduction: The spinal cord stimulation (SCS) has been described as a valuable neuromodulating procedure in the management of chronic and medically untreated neuropathic pain. Although, many studies have discussed the use of this technique, a question still remains regarding its efficacy in different medical conditions with different etiology in the long term. The aim of this paper is to discuss the risks, complications, cost-effectiveness and results of SCS in patients affected by chronic neuropathic pain based on the comprehensive literature review. Methods: Bibliographic search of references from 1950 to 2016 using the databases MEDLINE, LILACS, SciELO, PubMed, and applied language as selection criteria, choosing preferably recent articles written in Portuguese, Spanish or English. Results: Based on literature review, SCS is a safe, reversible, adjustable and nondestructive surgical procedure demonstrating a significant effect in the reduction of pain intensity and improvement in quality of life in these patients. Furthermore, in spite of the initial high cost to its application, SCS has been associated with lower rates of complications and high rates of cost-effectiveness when compared to standard therapies. Conclusion: Although used in medical conditions with different etiology, the procedure is still an effective and a cost-effective approach to neuropathic pain, mainly in patients affected by failed back pain syndrome (FBSS) and complex regional pain syndrome (CRPS).

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