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

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

Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00546-2 · Published: August 26, 2022

Spinal Cord InjuryNeurologyPain Management

Simple Explanation

Neuropathic pain is a common and difficult-to-treat complication after a spinal cord injury (SCI). This pain can be caused by damage to the spinal cord or nerve roots, such as from a gunshot wound (GSW). This report describes a case where a 30-year-old man with a spinal cord injury from a gunshot wound experienced significant pain relief after receiving a spinal cord stimulator (SCS). The SCS improved his symptoms by more than 80%. The case suggests that spinal cord stimulation could be a helpful treatment for neuropathic pain that doesn't respond to other methods. It's believed that the therapy affects the body at a cellular level, going beyond simply blocking pain signals.

Study Duration
6 Months
Participants
1 male patient
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    A 30-year-old male with a T12 AIS B incomplete spinal cord injury secondary to multiple GSW experienced severe bilateral lower extremity dysesthesias and muscle spasms.
  • 2
    Oral antispasmodic medications failed to improve the patient's symptoms.
  • 3
    The patient experienced significant pain relief (greater than 80% improvement) following a spinal cord stimulator (SCS) trial and subsequent implantation.

Research Summary

This case report describes the successful use of spinal cord stimulation (SCS) to treat neuropathic pain in a 30-year-old man with an incomplete spinal cord injury (SCI) resulting from gunshot wounds (GSW). The patient, who experienced severe lower extremity pain and muscle spasms that were unresponsive to oral medications, achieved significant pain relief after SCS trial and implantation. The findings suggest that SCS may be a viable treatment option for neuropathic pain associated with SCI, particularly in cases where conservative treatments have failed. However, more research is needed to confirm these results.

Practical Implications

Treatment Option

SCS can be considered as a treatment option for neuropathic pain in SCI patients when conservative treatments fail.

Improved Quality of Life

SCS may improve the quality of life for SCI patients suffering from chronic neuropathic pain.

Further Research

This case highlights the need for more controlled studies to investigate the effectiveness and mechanisms of SCS in SCI patients with neuropathic pain.

Study Limitations

  • 1
    Retrospective single case report
  • 2
    Lack of a control group
  • 3
    Limited generalizability due to the specific patient characteristics

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