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2016 ; 29
(2
): 123-8
Nephropedia Template TP
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English Wikipedia
Spinal Cauda Equina Stimulation for Alternative Location of Spinal Cord
Stimulation in Intractable Phantom Limb Pain Syndrome: A Case Report
#MMPMID27103968
Lee PM
; So Y
; Park JM
; Park CM
; Kim HK
; Kim JH
Korean J Pain
2016[Apr]; 29
(2
): 123-8
PMID27103968
show ga
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.