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  4. Relief of Neuropathic Pain after Spinal Cord Stimulator Implantation in a Patient with Idiopathic Thoracic Transverse Myelitis: A Case Report

Relief of Neuropathic Pain after Spinal Cord Stimulator Implantation in a Patient with Idiopathic Thoracic Transverse Myelitis: A Case Report

A A Pract, 2019 · DOI: 10.1213/XAA.0000000000001078 · Published: December 1, 2019

NeurologyPain Management

Simple Explanation

Transverse myelitis (TM) is a rare condition involving inflammation of the spinal cord, leading to potential spinal cord injury and chronic pain. Spinal cord stimulation (SCS) is a treatment option for neuropathic pain, showing effectiveness in various pain conditions. This case report presents a patient with TM who experienced significant pain relief and improved function after receiving a spinal cord stimulator.

Study Duration
9 Months
Participants
1 male patient with idiopathic thoracic transverse myelitis
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    A 37-year-old male with idiopathic TM and chronic neuropathic pain experienced 70% pain improvement during a SCS trial.
  • 2
    Following SCS implantation, the patient reported >80% pain relief and functional improvement at the 9-month follow-up.
  • 3
    The patient preferred traditional paresthesia stimulation over high-density sub-perception programming.

Research Summary

This case report describes the successful use of spinal cord stimulation (SCS) to treat chronic neuropathic pain in a patient with idiopathic transverse myelitis (TM). The patient experienced significant pain relief, functional improvement, and enhanced quality of life following SCS implantation and conventional paresthesia-based programming. The findings suggest that SCS may be a viable treatment option for refractory pain associated with TM, even with advances in paresthesia-free technology.

Practical Implications

Treatment Option for TM Pain

Spinal cord stimulation can be considered as a treatment for chronic neuropathic pain associated with transverse myelitis when conventional treatments fail.

Preference for Paresthesia-Based Stimulation

Despite advances in paresthesia-free technology, some patients may prefer traditional tonic stimulation for pain relief.

Improved Quality of Life

SCS can lead to significant functional improvements and enhanced quality of life for patients with TM-related pain.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Relatively short follow-up period (9 months)
  • 3
    Lack of a control group

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