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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 47(2)2022

<Case Report> Efficacy of Spinal cord stimulation therapy for post thoracotomy pain syndrome: a case report

https://doi.org/10.15100/00023400
https://doi.org/10.15100/00023400
1368d07a-888d-44b8-bfe4-44c5275bb07c
名前 / ファイル ライセンス アクション
AA0050842X-20221200-0053.pdf AA0050842X-20221200-0053.pdf (1.6 MB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2022-12-21
タイトル
タイトル <Case Report> Efficacy of Spinal cord stimulation therapy for post thoracotomy pain syndrome: a case report
言語 en
著者 Matsumoto, Tomoyuki

× Matsumoto, Tomoyuki

Matsumoto, Tomoyuki

ja-Kana マツモト, トモユキ

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Shirai, Toru

× Shirai, Toru

Shirai, Toru

ja-Kana シライ, トオル

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Nakajima, Yasufumi

× Nakajima, Yasufumi

Nakajima, Yasufumi

ja-Kana ナカジマ, ヤスフミ

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Nakao, Shinichi

× Nakao, Shinichi

Nakao, Shinichi

ja-Kana ナカオ, シンイチ

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言語
言語 eng
キーワード
主題 post-thoracotomy pain syndrome, spinal cord stimulation, neuropathic pain
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
ID登録
ID登録 10.15100/00023400
ID登録タイプ JaLC
著者所属(翻訳)
値 Department of Anesthesiology, Kindai University Faculty of Medicine
著者所属(翻訳)
値 Department of Anesthesiology, Kindai University Faculty of Medicine
著者所属(翻訳)
値 Department of Anesthesiology, Kindai University Faculty of Medicine
著者所属(翻訳)
値 Department of Anesthesiology, Kindai University Faculty of Medicine
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 The Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 47, 号 2, p. 53-57, 発行日 2022-12-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] Background: Spinal cord stimulation (SCS) therapy is effective for the treatment of neuropathic pain, but there are few reports that demonstrated the efficacy of SCS for patients with post-thoracotomy pain syndrome (PTPS) who had received thoracic nerve root blocks with pulsed radiofrequency (PRF) but had not gotten sufficient pain relief.
Case presentation: The patient underwent resection of giant cell tumor in the right 6th rib in 2014. Due to right chest back pain after surgery, she received thoracic nerve root blocks with PRF several times at another institute. Although the pain was relieved for a couple of months after the block, she could not obtain permanent pain relief. She consulted our pain clinic in 2018. We prescribed 150 mg of pregabalin, 40 mg of duloxetine per day. We confirmed the efficacy of ultrasound-guided and fluoroscopy-assisted selective 6th thoracic nerve root block with PRF. Her pain relief continued for about 2 months. As she felt severe pain again, we administered PRF treatment and radiofrequency thermocoagulation (RFTC); however, she felt intractable pain again. Because her pain had neuropathic origin and was reactive to PRF, we decided to administer SCS therapy. She could feel the appropriate stimulated paresthesia for all regions of the pain, and her pain was also markedly reduced. As a result, we could reduce and finally discontinue her medications.
Conclusions: We described effective SCS therapy for the patient with PTPS for several years, which was resistant to various treatments and was mainly caused by neuropathic pain.
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