Pain Medicine Case Reports最新文献_第6页

Neuromodulation in Odontogenic Pain: A Case Series 牙源性疼痛的神经调节:一个病例系列

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.267

M. Marchesini, C. Rocchetti, M. Baciarello, E. Bignami, L. Demartini

引用次数: 0

A Case of Priapism After Intrathecal Morphine Injection 鞘内注射吗啡后阴茎勃起1例

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.273

Marco Cunicelli, Elizabeth Piwowarski, T. Raju

引用次数: 1

Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting 颈动脉支架植入术后雷德尔综合征患者高血压治疗后的肋旁神经痛改善

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.259

Hitoaki Sato, K. Ueno, Y. Motoyama, Y. Uozumi, S. Mizobuchi

{"title":"Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting","authors":"Hitoaki Sato, K. Ueno, Y. Motoyama, Y. Uozumi, S. Mizobuchi","doi":"10.36076/pmcr.2021.5.259","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.259","url":null,"abstract":"BACKGROUND: Although there have been reports of Raeder’s syndrome developing after carotid artery dissection, to our knowledge, no case of Raeder’s syndrome occurring after carotid stenting has been reported. CASE REPORT: A 46-year-old man was urgently treated with a self-expanding stent for idiopathic right carotid artery dissection. However, the patient complained of moderate oppressive pain in the right orbit and forehead immediately after stent placement. Further examination revealed a right eye miosis and right ptosis. No anhidrosis was noted. A diagnosis of Raeder’s syndrome was made based on partial Horner’s syndrome and pain in the first branch of the trigeminal nerve. We noticed that he had hypertension and started antihypertensive medication. After starting the antihypertensive medication, his blood pressure stabilized, and his periorbital pain disappeared dramatically as his blood pressure fell. However, Horner’s symptoms (miosis and ipsilateral ptosis) were still present. CONCLUSION: We experienced a case of Raeder’s syndrome that occurred after stenting of the carotid artery. Neuralgia improved by treatment of hypertension. It should be noted that the paratrigeminal neuralgia of Raeder’s syndrome after carotid stenting can be caused by hypertension. KEY WORDS: Antihypertensive medication, Horner’s symptoms, Raeder’s syndrome, stenting of the carotid artery","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"22 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128082927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DO NOT Remove the Catheter: A Case Report on Pediatric Palliative Pain Management with an Erector Spinae Plane Block 不要拔除导管:用竖脊肌平面阻滞治疗小儿姑息性疼痛一例报告

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.277

C. Joseph, Alexander Eaton, N. Peiris, Christina LaMonica, E. Lindholm, A. Nanassy, Pravin A Taneja, A. Hasan

{"title":"DO NOT Remove the Catheter: A Case Report on Pediatric Palliative Pain Management with an Erector Spinae Plane Block","authors":"C. Joseph, Alexander Eaton, N. Peiris, Christina LaMonica, E. Lindholm, A. Nanassy, Pravin A Taneja, A. Hasan","doi":"10.36076/pmcr.2021.5.277","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.277","url":null,"abstract":"BACKGROUND: Erector spinae plane block (ESB) is a novel fascial plane regional anesthetic technique for pain management. The case report highlights the need for multidisciplinary education on regional nerve blockade in pediatric palliative medicine. CASE REPORT: The patient was a 5-year-old girl with relapsed metastatic Wilms tumor who presented with recurring malignant pleural effusion, necessitating chest tube insertion. She received a thoracic ESB via catheter to successfully manage uncontrolled pain. Radiation was needed, but radiation providers refused to continue ESB treatment, erroneously citing possible interactions between ESB and radiation therapy. The catheter was removed, and the patient suffered from complications before passing away. CONCLUSION: Interdisciplinary education on regional nerve blockade in pediatrics is imperative to prevent premature removal of anesthetic catheters during treatment, thereby causing unnecessary pain after risk of placement is undertaken. Further, we propose that the ESB is feasible for palliative pain management despite patient age and size. KEY WORDS: Acute pain anesthesiology, erector spinae plane block, palliative medicine, pediatric anesthesia, regional anesthesia","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134452814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidural Abscess Following a Spinal Cord Stimulator Trial: A Case Report 脊髓刺激器试验后硬膜外脓肿1例报告

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.263

G. Nam, Douglas Gugger

引用次数: 0

Considerations When Performing an Epidural Blood Patch on a Patient Anticoagulated with Low Molecular Weight Heparin: A Case Report 应用低分子肝素抗凝患者硬膜外补血的注意事项:1例报告

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.251

Jessica S. Sheeran, Samuel J. MacCormick, L. Kohan

引用次数: 0

Improving Outcomes of Therapy-Resistant Complex Regional Pain Syndrome Utilizing Ketamine Infusions and Comprehensive Rehabilitation Following Amputation: A Case Report 使用氯胺酮输注和截肢后综合康复改善治疗难治性复杂局部疼痛综合征的疗效:1例报告

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.255

I. Dworkin, Roya Moheimani, E. Pang, M. Zirovich, S. Pangarkar

{"title":"Improving Outcomes of Therapy-Resistant Complex Regional Pain Syndrome Utilizing Ketamine Infusions and Comprehensive Rehabilitation Following Amputation: A Case Report","authors":"I. Dworkin, Roya Moheimani, E. Pang, M. Zirovich, S. Pangarkar","doi":"10.36076/pmcr.2021.5.255","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.255","url":null,"abstract":"BACKGROUND: Complex regional pain syndrome (CRPS) is a term describing signs and symptoms of a poorly understood neuropathic pain condition. Despite a number of treatment options, patients with CRPS often suffer from significant impairment and unsatisfactory pain relief. An option rarely considered in managing this condition is amputation due to concerns of pain recurrence or disease progression. CASE REPORT: A 50-year-old man with a history of refractory CRPS on high-dose opioids (over 400 morphine daily equivalents) presented with a request to consider amputation. After extensive interdisciplinary discussion, it was decided to proceed with amputation resulting in successful resolution of his CRPS symptoms with aggressive peri- and postoperative ketamine infusions and a comprehensive therapy program. The patient is now 6 years post amputation and denies phantom limb pain or the spread of CRPS to other limbs. He was subsequently tapered off all opioid medication and has only needed the occasional acetaminophen for pain. CONCLUSIONS: We demonstrate the potential for a selective treatment approach in a patient with treatment-resistant CRPS using IV ketamine infusions. KEY WORDS: Amputation, chronic pain, complex regional pain syndrome, ketamine","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127051714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Subthreshold Peripheral Nerve Stimulation with a High Frequency Electric Magnetic Coupled (HF-EMC) Powered Implanted Receiver: A Case Series 高频电磁耦合(HF-EMC)供电植入接收器的阈下周围神经刺激:一个案例系列

Pain Medicine Case Reports Pub Date : 2021-07-31 DOI: 10.36076/pmcr.2021.5.283

H. Chahadeh, Brian Rich, Matthias H. Wiederholz, Daniel Herschkowitz, Carissa Stone, Suzanne M. Manzi, P. Satija, Niek Vanquathem

{"title":"Subthreshold Peripheral Nerve Stimulation with a High Frequency Electric Magnetic Coupled (HF-EMC) Powered Implanted Receiver: A Case Series","authors":"H. Chahadeh, Brian Rich, Matthias H. Wiederholz, Daniel Herschkowitz, Carissa Stone, Suzanne M. Manzi, P. Satija, Niek Vanquathem","doi":"10.36076/pmcr.2021.5.283","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.283","url":null,"abstract":"BACKGROUND: Peripheral nerve stimulation (PNS) is an effective alternative for the management of neuropathic peripheral chronic pain, but the high incidence of adverse events such as lead and battery erosion, migration, lead fracture, disconnection, and infection have limited the widespread use of PNS. Neuromodulation technology that does not include implantable pulse generators (IPGs) but a 4- or 8-contact electrode array with embedded electronics and a small, externally worn rechargeable transmitter reduces the complications related to the implant of an IPG. PNS has traditionally been performed with a tonic stimulation protocol. This case series describes a wireless PNS device at subthreshold frequencies for the treatment of neuropathic pain of peripheral nerve origins. CASE REPORT: No adverse events were reported, and no complications were encountered during implantation. All patients reported more than 50% pain relief during the one-week trial period, sustained pain relief with various placements and number of electrodes, and an important improvement in quality of life and sleep. Mean VAS scores decreased 78% at one month (n = 11) and remained stable at 6 months with 91% reduction (n = 5) and 76% reduction (n = 1) at 12 months. Mean PGIC at 6 months was 7 of 7. CONCLUSION: Percutaneous placement of an externally powered neurostimulation device adjacent to the affected peripheral nerve(s) is an effective, minimally invasive, and reversible method of pain control in patients with neuropathic pain. PNS using subthreshold frequencies effectively controls neuropathic pain from multiple peripheral nerve targets. KEY WORDS: High frequency, peripheral nerve stimulation, peripheral neuropathic pain, externally powered","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131543712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1