Bibliographic Details
| Title: |
1-kHz high-frequency spinal cord stimulation alleviates chronic refractory pain after spinal cord injury: a case report |
| Authors: |
Chiaki Yamada, Aiko Maeda, Katsuyuki Matsushita, Shoko Nakayama, Kazuhiro Shirozu, Ken Yamaura |
| Source: |
JA Clinical Reports, Vol 7, Iss 1, Pp 1-5 (2021) |
| Publisher Information: |
SpringerOpen, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Anesthesiology
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Spinal cord injury, Spinal cord stimulation, High-dose stimulation, High-frequency SCS, kilohertz SCS, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: |
Abstract Background Patients with spinal cord injury (SCI) frequently complain of intractable pain that is resistant to conservative treatments. Here, we report the successful application of 1-kHz high-frequency spinal cord stimulation (SCS) in a patient with refractory neuropathic pain secondary to SCI. Case presentation A 69-year-old male diagnosed with SCI (C4 American Spinal Injury Association Impairment Scale A) presented with severe at-level bilateral upper extremity neuropathic pain. Temporary improvement in his symptoms with a nerve block implied peripheral component involvement. The patient received SCS, and though the tip of the leads could not reach the cervical vertebrae, a 1-kHz frequency stimulus relieved the intractable pain. Conclusions SCI-related symptoms may include peripheral components; SCS may have a considerable effect on intractable pain. Even when the SCS electrode lead cannot be positioned in the target area, 1-kHz high-frequency SCS may still produce positive effects. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2363-9024 |
| Relation: |
https://doaj.org/toc/2363-9024 |
| DOI: |
10.1186/s40981-021-00451-x |
| Access URL: |
https://doaj.org/article/e45f5f94c5a84d3c84e8c84c5a458d21 |
| Accession Number: |
edsdoj.45f5f94c5a84d3c84e8c84c5a458d21 |
| Database: |
Directory of Open Access Journals |
