Unilateral Lumbosacral Plexopathy Following Extra-Corporeal Membrane Oxygenation Managed with Burst Spinal Cord Stimulation: A Case Report

J. González Mesa, Pablo Ignacio Iglesias Rozas, Salvador Romero Porras, F. P. Palma Perez, Marta del Valle Hoyos, Milagros Rivera Perez, J. Cruz Mañas
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Abstract

BACKGROUND: Lumbar plexopathy is considered a rare complication of minimally invasive endovascular or surgical procedures, but it has not been related to the use of extracorporeal membrane oxygenation (ECMO) so far. In cases of high-intensity neuropathic pain, neuromodulation should be considered early in the treatment. CASE REPORT: After receiving supportive ECMO therapy for 7 days, a 42-year-old woman developed lumbar plexopathy and high-intensity neuropathic pain and was referred to the pain unit 6 months later. After unsuccessful use of neuropathic drugs, spinal cord stimulation achieved global improvements of 90%. Sixteen months later, the patient continues to be asymptomatic, leading an active life as a mother of 4 children. CONCLUSIONS: The use of ECMO cannot be said to be the main cause of plexopathy in this case, but a multifactorial approach regarding this issue should be considered. Spinal cord stimulation can provide dramatic relief in localized neuropathic pain. KEY WORDS: Extracorporeal membrane oxygenation (ECMO), lumbosacral plexopathy, spinal cord stimulation
单侧腰骶神经丛病后体外膜氧合治疗脊髓爆裂刺激:1例报告
背景:腰丛病被认为是微创血管内或外科手术的罕见并发症,但迄今为止尚未与体外膜氧合(ECMO)的使用有关。在高强度神经性疼痛的病例中,应在治疗早期考虑神经调节。病例报告:在接受支持性ECMO治疗7天后,一名42岁女性出现腰丛病和高强度神经性疼痛,6个月后被转介到疼痛科。在使用神经性药物失败后,脊髓刺激实现了90%的整体改善。16个月后,患者仍然无症状,作为4个孩子的母亲过着积极的生活。结论:不能说ECMO的使用是本例神经丛病变的主要原因,但应考虑多因素方法。脊髓刺激可显著缓解局部神经性疼痛。关键词:体外膜氧合,腰骶神经丛病,脊髓刺激
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