上肢CRPS type Iが脊髄刺激電極法により改善した頸椎手術歴を有する1症例

DOI Web Site 参考文献9件
  • 祖父江 和哉
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine
  • 津田 喬子
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine
  • 竹内 昭憲
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine
  • 伊藤 彰師
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine
  • 藤田 義人
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine
  • 真砂 敦夫
    Department of Neurosurgery, Nagoya City University School of Medicine
  • 勝屋 弘忠
    Department of Anesthesiology and Resuscitology, Nagoya City University School of Medicine

書誌事項

タイトル別名
  • Successful spinal cord stimulation for a patient with complex regional pain syndrome type I in upper limb associated with cervical vertebral surgery
  • ショウレイ ジョウシ CRPS type1 ガ セキズイ シゲキ デンキョクホウ ニ ヨリ カイゼン シタ ケイツイ シュジュツレキ オ ユウスル 1 ショウレイ

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Departmention (SCS) has been used for cases resistant to non-interventional pain management and nerve blocks such as failed back surgery syndrome (FBSS), complex regional pain syndrome (CRPS). Only a few reports of SCS for an upper limb pain associated with cervical vertebral surgery have involved patients suffering from CRPS type I, however. A 64-year-old man was referred to our pain clinic because of severe upper limb pain after cervical vertebral surgery. Several types of medication including morphine and repeated nerve blocks both failed to relieve his pain. Continuous epidural block was at least partially effective, suggesting his epidural space was not totally occluded with adhesions. However, infection of the epidural tubing site necessitated removal of the tube. Based on these findings, we chose SCS treatment for this patient. SCS treatment was performed and immediately relieved his upper limb pain and allodynia. We conclude that SCS may be a useful option for the treatment of CRPS type I in upper limb associated with cervical vertebral surgery.

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