Cervical Spinal Cord Stimulation in a Patient with Complex Regional Pain Syndrome Type 2 at the Middle Finger: A case report.
10.4097/kjae.2007.52.6.733
- Author:
Kyoung Won SEO
1
;
Sang Sik CHOI
;
Ho Jun LEE
;
Eun Hye KOO
;
Hee Zoo KIM
;
Hye Ran OH
;
Nan Sook KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea. clonidine@empal.com
- Publication Type:Case Report
- Keywords:
complex regional pain syndrome type 2;
spinal cord stimulation
- MeSH:
Complementary Therapies;
Electrodes;
Fingers*;
Humans;
Male;
Middle Aged;
Pain Clinics;
Spinal Cord Stimulation*;
Spinal Cord*;
Stellate Ganglion
- From:Korean Journal of Anesthesiology
2007;52(6):733-736
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Complex regional pain syndrome (CRPS) is quite difficult to comprehend and manage, of which etiology and pathophysiological mechanisms have not been fully understood. CRPS is classified as either type 1 (without any known nerve injury) or type 2 (with apparent nerve or tissue injury). Spinal cord stimulation is a restorative therapy that currently offers the best chances of obtaining long-term pain relief in CRPS patients with pain that has not responded to other treatments such as physical therapy or analgesic medications. A 45 years old male patient referred to our pain clinic due to uncontrolled pain at the middle finger for 4 years after crushing injury. He was diagnosed with CRPS type 2 and treated with medication, stellate ganglion block, thoracic sympathetic block, and pulsed radiofrequency therapy, but their effects were transient and not satisfactory. A percutaneous spinal cord stimulation (SCS) with a single quadripolar electrode was tried and the patient's finger pain was improved significantly (from VAS 10 to 2). SCS is an effective treatment for CRPS type 2 which results from crushing injury when alternative therapies fail.
