Dataset Information

Spinal cord stimulation for neuropathic pain following traumatic spinal cord injury: a case report.

ABSTRACT:

Introduction

Neuropathic pain is a common complication of spinal cord injury (SCI), and is notoriously difficult to adequately treat. Gunshot wounds (GSW) near the spinal cord may cause intractable chronic pain through spinal/nerve root transection, or reactive tissue formation resulting in nerve root compression from retained bullet fragments (RBF).

Case presentation

This case report describes a 30-year-old man with a T12 AIS B incomplete spinal cord injury with paraplegia secondary to multiple GSW who presented with severe bilateral lower extremity dysesthesias and muscle spasms. Symptoms failed to improve with oral antispasmodic medications. After being diagnosed with Complex regional pain syndrome (CRPS) type I secondary to an SCI via GSW, he underwent a spinal cord stimulator (SCS) trial, which improved his symptoms by greater than 80%.

Discussion

Neuropathic pain refractory to conservative treatment may benefit from SCS. Effects of therapy go beyond gate-theory in SCI patients, and may benefit patients at the cellular and molecular level. Our case demonstrates the effectiveness of SCS treatment in a patient who developed CRPS type 1 after GSW resulting in SCI.

SUBMITTER: Rosales R

PROVIDER: S-EPMC9478097 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Spinal cord stimulation for neuropathic pain following traumatic spinal cord injury: a case report.

Rosales Richard R Amirianfar Edwin E Appeadu Michael M Gater David D Price Chane C

Spinal cord series and cases 20220915 1

<h4>Introduction</h4>Neuropathic pain is a common complication of spinal cord injury (SCI), and is notoriously difficult to adequately treat. Gunshot wounds (GSW) near the spinal cord may cause intractable chronic pain through spinal/nerve root transection, or reactive tissue formation resulting in nerve root compression from retained bullet fragments (RBF).<h4>Case presentation</h4>This case report describes a 30-year-old man with a T12 AIS B incomplete spinal cord injury with paraplegia second ...[more]

PMID: 36109507

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Project description:ContextNeuropathic pain is a common and debilitating condition following SCI. While treatments for neuropathic pain intensity have been reviewed, the impact on pain interference has not been summarized.ObjectiveTo systematically review the effect of neuropathic pain interventions on pain interference in individuals with spinal cord injury.MethodsThis systematic review included randomized controlled trials and quasi-experimental (non-randomized) studies which assessed the impact of an intervention on pain interference in individuals with spinal cord injury and neuropathic pain. Articles were identified by searching MEDLINE (1996 to April 11, 2022), EMBASE (1996 to April 11, 2022), PsycInfo (1987 to April, week 2, 2022). Studies were assessed for methodologic quality using a modified GRADE approach and were given quality of evidence (QOE) scores on a 4-point scale ranging from very low to high.ResultsTwenty studies met the inclusion criteria. These studies fell into the following categories: anticonvulsants (n = 2), antidepressants (n = 1), analgesics (n = 1), antispasmodics (n = 1), acupuncture (n = 2), transcranial direct current stimulation (n = 1), active cranial electrotherapy stimulation (n = 2), transcutaneous electrical nerve stimulation (n = 2), repetitive transcranial magnetic stimulation (n = 1), functional electrical stimulation (n = 1), meditation and imagery (n = 1), self-hypnosis and biofeedback (n = 1), and interdisciplinary pain programs (n = 4).ConclusionWhen considering studies of moderate to high quality, pregabalin, gabapentin, intrathecal baclofen, transcranial direct current stimulation, and transcutaneous electrical nerve stimulation (in 1 of 2 studies) were shown to have beneficial effects on pain interference. However, due to the low number of high-quality studies further research is required to confirm the efficacy of these interventions prior to recommending their use to reduce pain interference.

Dataset Information

Spinal cord stimulation for neuropathic pain following traumatic spinal cord injury: a case report.

Introduction

Case presentation

Discussion

Publications

Spinal cord stimulation for neuropathic pain following traumatic spinal cord injury: a case report.

Similar Datasets

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