Pain Relief in CRPS-II after Spinal Cord and Motor Cortex Simultaneous Dual Stimulation
We describe a case of a 30-year-old woman who suffered a traumatic injury of the right brachial plexus, developing severe complex regional pain syndrome type II (CRPS-II). After clinical treatment failure, spinal cord stimulation (SCS) was indicated with initial positive pain control. However, after...
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| Veröffentlicht in: | Pain physician 2016-05, Vol.19 (4), p.E631-E635 |
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| creator | Lopez, William Oc Barbosa, Danilo C Teixera, Manoel J Paiz, Martin Moura, Leonardo Monaco, Bernardo A Fonoff, Erich T |
| description | We describe a case of a 30-year-old woman who suffered a traumatic injury of the right brachial plexus, developing severe complex regional pain syndrome type II (CRPS-II). After clinical treatment failure, spinal cord stimulation (SCS) was indicated with initial positive pain control. However, after 2 years her pain progressively returned to almost baseline intensity before SCS. Additional motor cortex electrode implant was then proposed as a rescue therapy and connected to the same pulse generator. This method allowed simultaneous stimulation of the motor cortex and SCS in cycling mode with independent stimulation parameters in each site. At 2 years follow-up, the patient reported sustained improvement in pain with dual stimulation, reduction of painful crises, and improvement in quality of life. The encouraging results in this case suggests that this can be an option as add-on therapy over SCS as a possible rescue therapy in the management of CRPS-II. However, comparative studies must be performed in order to determine the effectiveness of this therapy.
Chronic neuropathic pain, Complex regional pain syndrome Type II, brachial plexus injury, motor cortex stimulation, spinal cord stimulation. |
| doi_str_mv | 10.36076/ppj/2019.19.E631 |
| format | Article |
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Chronic neuropathic pain, Complex regional pain syndrome Type II, brachial plexus injury, motor cortex stimulation, spinal cord stimulation.</description><subject>Adult</subject><subject>Case reports</subject><subject>Complex Regional Pain Syndromes - therapy</subject><subject>Deep Brain Stimulation - methods</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Motor Cortex</subject><subject>Pain</subject><subject>Pain Management - methods</subject><subject>Spinal cord</subject><subject>Spinal Cord Stimulation - methods</subject><issn>1533-3159</issn><issn>2150-1149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkF1LwzAUhoMobn78AG8k4I031ZycJm0uZU4dTByb4mWIXQIdXVuTFvTfmzr1QjiQnPCcl5OHkDNgVyhZJq_bdnPNGairWFOJsEfGHARLAFK1T8YgEBMEoUbkKIQNYyiVwkMy4hnnuUA2Jq8LU9Z0aavSOhpvk-Vilcxm1LjOerpqy9pUdNL4NTX1mj42XeOHtrMfdFVu-6oztW36QG_7yK264cl0ZVOfkANnqmBPf85j8nI3fZ48JPOn-9nkZp4UKFiXGFGIVGKB6JRgYJlEkSrjitS6NJdq7Vhucnzj4ITNEaQolIO0AGtS6TDHY3K5y219897b0OltGQpbVbu9NGSKYyYyxiN68Q_dNL2P_wuaSyEZgMhUpGBHFb4JwVunW19ujf_UwPS3dR2t68G6jjVYjzPnP8n929au_yZ-NeMXSoh7wQ</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Lopez, William Oc</creator><creator>Barbosa, Danilo C</creator><creator>Teixera, Manoel J</creator><creator>Paiz, Martin</creator><creator>Moura, Leonardo</creator><creator>Monaco, Bernardo A</creator><creator>Fonoff, Erich T</creator><general>American Society of Interventional Pain Physician</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Pain Relief in CRPS-II after Spinal Cord and Motor Cortex Simultaneous Dual Stimulation</title><author>Lopez, William Oc ; 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After clinical treatment failure, spinal cord stimulation (SCS) was indicated with initial positive pain control. However, after 2 years her pain progressively returned to almost baseline intensity before SCS. Additional motor cortex electrode implant was then proposed as a rescue therapy and connected to the same pulse generator. This method allowed simultaneous stimulation of the motor cortex and SCS in cycling mode with independent stimulation parameters in each site. At 2 years follow-up, the patient reported sustained improvement in pain with dual stimulation, reduction of painful crises, and improvement in quality of life. The encouraging results in this case suggests that this can be an option as add-on therapy over SCS as a possible rescue therapy in the management of CRPS-II. However, comparative studies must be performed in order to determine the effectiveness of this therapy.
Chronic neuropathic pain, Complex regional pain syndrome Type II, brachial plexus injury, motor cortex stimulation, spinal cord stimulation.</abstract><cop>United States</cop><pub>American Society of Interventional Pain Physician</pub><pmid>27228530</pmid><doi>10.36076/ppj/2019.19.E631</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Case reports Complex Regional Pain Syndromes - therapy Deep Brain Stimulation - methods Electric Stimulation Therapy - methods Female Humans Motor Cortex Pain Pain Management - methods Spinal cord Spinal Cord Stimulation - methods |
| title | Pain Relief in CRPS-II after Spinal Cord and Motor Cortex Simultaneous Dual Stimulation |
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