Your browser doesn't support javascript.
loading
Relief of Central Poststroke Pain Affecting Both the Arm and Leg on One Side by Double-independent Dual-lead Spinal Cord Stimulation Using Fast-acting Subperception Therapy Stimulation: A Case Report.
Tanei, Takafumi; Maesawa, Satoshi; Nishimura, Yusuke; Nagashima, Yoshitaka; Ishizaki, Tomotaka; Mutoh, Manabu; Ito, Yoshiki; Saito, Ryuta.
Afiliación
  • Tanei T; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Maesawa S; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Nishimura Y; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Nagashima Y; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Ishizaki T; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Mutoh M; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Ito Y; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
  • Saito R; Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
NMC Case Rep J ; 10: 15-20, 2023.
Article en En | MEDLINE | ID: mdl-36873746
Central poststroke pain is a chronic, intractable, central neuropathic pain. Spinal cord stimulation is a neuromodulation therapy for chronic neuropathic pain. The conventional stimulation method induces a sense of paresthesia. Fast-acting subperception therapy is one of the latest new stimulation methods without paresthesia. A case of achieving pain relief of central poststroke pain affecting both the arm and leg on one side by double-independent dual-lead spinal cord stimulation using fast-acting subperception therapy stimulation is presented. A 67-year-old woman had central poststroke pain due to a right thalamic hemorrhage. The numerical rating scale scores of the left arm and leg were 6 and 7, respectively. Using dual-lead stimulation at the Th 9-11 levels, a spinal cord stimulation trial was performed. Fast-acting subperception therapy stimulation achieved pain reduction in the left leg from 7 to 3. Therefore, a pulse generator was implanted, and the pain relief continued for 6 months. Then, two additional leads were implanted at the C 3-5 levels, and pain in the arm decreased from 6 to 4. Independent setting and adjustments of the dual-lead stimulation were required because the thresholds of paresthesia perception were significantly different. To achieve pain relief in both the arm and leg, double-independent dual-lead stimulation placed at cervical and thoracic levels is an effective treatment. Fast-acting subperception therapy stimulation may be effective for central poststroke pain, especially in cases where the paresthesia is perceived as uncomfortable or the conventional stimulation itself is ineffective.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: NMC Case Rep J Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: NMC Case Rep J Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón