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Cephalad Migration of Spinal Cord Stimulator Lead: A Case Report. 脊髓刺激器引线头部移位1例报告。
Pain medicine case reports Pub Date : 2024-11-01
Luis Miguel Escano Volquez, Roger Haddad, Nimesh Patel
{"title":"Cephalad Migration of Spinal Cord Stimulator Lead: A Case Report.","authors":"Luis Miguel Escano Volquez, Roger Haddad, Nimesh Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Since the introduction of neuromodulation, significant advances in technology and safety have been achieved. Despite these improvements, complications are frequently observed. Among these complications, lead migration has been reported as the most common, with significant cephalad displacement being among the rarest for this type.</p><p><strong>Case report: </strong>We present a case of a 69-year-old woman with chronic low back pain that experienced lead migration from T8 to T3 during the trial period, leading to an unsuccessful trial.</p><p><strong>Conclusions: </strong>Although rare, drastic displacement in the cephalad direction of a spinal cord stimulator lead has been reported in the literature and warrants recognition. There are multiple potential etiologies that could explain this movement. There is a need to further study its mechanism, how the current methods for securing the lead perform, and developing better options for securing the device.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"273-277"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532668","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
Peripheral Nerve Stimulation for Occipital Neuralgia: A Parallel Approach. 外周神经刺激治疗枕神经痛：平行入路。
Pain medicine case reports Pub Date : 2024-11-01
Steven Kim, Maryam Hosseini, Hesham Elsharkawy
{"title":"Peripheral Nerve Stimulation for Occipital Neuralgia: A Parallel Approach.","authors":"Steven Kim, Maryam Hosseini, Hesham Elsharkawy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Occipital neuralgia (ON) is a common headache syndrome characterized by sharp, shooting pain affecting the posterior head in the distribution of the occipital nerve. It is associated with debilitating symptoms that can severely impact a patient's quality of life. We report the use of peripheral nerve stimulation (PNS) for ON with a nonconventional, parallel technique.</p><p><strong>Case report: </strong>A patient in their late 20s presented with persistent headaches and ON after a posterior occipitocervical fusion secondary to a C2 burst fracture because of a motor vehicle accident. Multiple modalities for pain treatment were tried without relief. Patient was considered a candidate for PNS. The patient first underwent a trial implantation. Using ultrasound and fluoroscopy, an 8-lead, Curonix stimulator lead was placed parallel to the nerve, entry from caudal to cranial. At follow-up, the patient reported nearly 100% pain relief. Patient proceeded with a 4-tined leads permanent PNS implant. Patient reported near absence of pain at 3-month, 6-month, and one-year follow-ups.</p><p><strong>Conclusions: </strong>We demonstrate a unique approach of peripheral nerve implantation for the treatment of ON, specifically with the stimulator lead parallel vs commonly used perpendicular to the occipital nerve. This case demonstrates why a parallel technique may be a feasible method with better outcomes.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532671","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
Spinal Cord Stimulation in Small Fiber Neuropathy: A Case Report. 脊髓刺激治疗小纤维神经病1例报告。
Pain medicine case reports Pub Date : 2024-11-01
Vittorio Schweiger, Libera Villagrossi, Alvise Martini, Eleonora Bonora, Leonardo Gottin, Massimo Parolini, Patrizia Vendramin, Marta Nizzero, Pierluigi Manchiaro, Enrico Polati
{"title":"Spinal Cord Stimulation in Small Fiber Neuropathy: A Case Report.","authors":"Vittorio Schweiger, Libera Villagrossi, Alvise Martini, Eleonora Bonora, Leonardo Gottin, Massimo Parolini, Patrizia Vendramin, Marta Nizzero, Pierluigi Manchiaro, Enrico Polati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord stimulation (SCS) is a well-established pain treatment in several chronic neuropathic pain conditions refractory to conservative treatments. Neuropathic pain due to small fiber neuropathy (SFN) may represent a further indication.</p><p><strong>Case report: </strong>We treated with SCS a 22-year-old female patient with SFN and chronic neuropathic pain. After an initial effective trial targeting the lower limbs with improvement in pain and quality of life, a definitive implant was performed. Ten months later, a single cervical octopolar electrode was inserted to treat upper limb pain with the same protocol (i.e., initial effective trial and definitive implant). Also, in this case, the patient experienced a significant global reduction in upper limb pain.</p><p><strong>Conclusions: </strong>To date, evidence for the SCS efficacy in refractory SFN-related pain is still limited to small case series or case reports. Our experience may help to validate this indication.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"289-292"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532672","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
Intractable Hiccups Treated With Stellate Ganglion Block: Case Report. 星状神经节阻滞治疗顽固性呃逆1例。
Pain medicine case reports Pub Date : 2024-11-01
Danielle Levin, Jonathan Alabre, Ryan Gualtier
{"title":"Intractable Hiccups Treated With Stellate Ganglion Block: Case Report.","authors":"Danielle Levin, Jonathan Alabre, Ryan Gualtier","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>A hiccup is a common well-documented physiologic process that occurs due to a sudden involuntary contraction of the diaphragm and intercostal muscles, with subsequent rapid closure of the glottis. While acute hiccups, lasting < 48 hours, are experienced by almost all individuals at some point in their life, prolonged hiccups lasting > 48 hours, or intractable hiccups lasting > 1 month, are quite rare and may significantly impact a person's quality of life. We would like to share a report of a stellate ganglion (SG) block relieving the discomfort of a patient suffering from idiopathic intractable hiccups.</p><p><strong>Case report: </strong>A 73-year-old man suffered from > 3 years of idiopathic intractable hiccups that were resistant to oral medications and phrenic nerve blocks. An ultrasound-guided SG block with a combination of ropivacaine and lidocaine was administered to the patient. After this block, for the first time in over 3 years, the patient was 100% hiccup-free for one week.</p><p><strong>Conclusions: </strong>This case report demonstrates that the ultrasound-guided SG block could be a temporary treatment option for those affected by idiopathic intractable hiccups.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"257-260"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532670","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
Use of Neuromodulation to Treat Post-COVID Neuropathic Pain: A Case Report. 神经调节治疗新冠肺炎后神经性疼痛1例报告
Pain medicine case reports Pub Date : 2024-11-01
Casey Scott Butler
{"title":"Use of Neuromodulation to Treat Post-COVID Neuropathic Pain: A Case Report.","authors":"Casey Scott Butler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Post-COVID-19 neuropathic pain is a difficult-to-treat condition seen in approximately one-third of patients with long COVID. It has been shown to be resistant to many first-line therapies as well as over-the-counter and prescription medications.</p><p><strong>Case report: </strong>We present the case of a 27-year-old man who developed bilateral upper extremity neuropathic pain in conjunction with a severe COVID-19 infection. He failed occupational therapy, multiple medications, and a stellate ganglion block. A dorsal column stimulator was placed and provided the patient with both pain relief and improved functionality.</p><p><strong>Conclusions: </strong>Given the results of this case and the history of neuromodulation in effectively treating neuropathic pain, we submit that neuromodulation is a viable option for patients with refractory post-COVID-19 neuropathic pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532679","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
Iliopsoas Abscess Leading to Chronic Ilioinguinal Neuralgia: A Case Report and Discussion. 髂腰肌脓肿致慢性髂腹股沟神经痛1例报告及讨论。
Pain medicine case reports Pub Date : 2024-11-01
George Bailey Walbridge, Daniel Lopez, Ted Gingrich
{"title":"Iliopsoas Abscess Leading to Chronic Ilioinguinal Neuralgia: A Case Report and Discussion.","authors":"George Bailey Walbridge, Daniel Lopez, Ted Gingrich","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Psoas abscesses are infrequent yet significant conditions characterized by the localized accumulation of purulent material within the psoas muscle compartment, often resulting in debilitating pain localized to the hip, low back, or groin. Clinical symptoms typically include pain, fever, and potential progression to septic shock. Standard treatment generally involves a combination of antibiotics and drainage procedures.</p><p><strong>Case report: </strong>This case presents a 75-year-old man with a history of chronic low back pain, who sought treatment for right groin discomfort at a pain clinic. The patient had previously undergone interventional radiology drainage of an iliopsoas abscess 2 years earlier. Despite successful abscess resolution, he developed chronic ilioinguinal neuralgia. Ultrasound-guided ilioinguinal nerve block resulted in a notable 70% reduction in pain, suggesting efficacy in managing similar cases.</p><p><strong>Conclusions: </strong>This case highlights that ultrasound-guided nerve blocks may be efficacious in treating chronic pain due to abscesses or ilioinguinal neuralgia.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"285-288"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532669","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
Tibial Nerve Mononeuropathy Post-COVID-19 and Successful Management with Peripheral Nerve Stimulation: A Case Report. 新冠肺炎后胫神经单神经病变及周围神经刺激成功治疗一例报告。
Pain medicine case reports Pub Date : 2024-11-01
Luis Miguel Escano Volquez, Sri Harsha Kanuri, Roger Haddad
{"title":"Tibial Nerve Mononeuropathy Post-COVID-19 and Successful Management with Peripheral Nerve Stimulation: A Case Report.","authors":"Luis Miguel Escano Volquez, Sri Harsha Kanuri, Roger Haddad","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Infection with COVID-19 has evolved from a novel health crisis into an entity with a myriad of increasingly recognized sequelae. Among these, peripheral neuropathy is often an underrecognized and underdiagnosed complication. Neuropathic pain can be challenging to treat with many cases being refractory to conservative management, often requiring advanced techniques. Neuromodulation has become an important tool for the treatment of the refractory cases.</p><p><strong>Case report: </strong>We present a case of a 43-year-old woman with refractory right tibial mononeuropathy secondary to COVID-19 infection who was treated successfully using peripheral nerve stimulation.</p><p><strong>Conclusions: </strong>The use of peripheral neuromodulation represents a pivotal strategy for the management of difficult cases. Our case highlights the first use of neuromodulation to treat neuropathic pain secondary to COVID-19 infection. We hope that this case sparks further research on the topic, which could lead to better clarification of this condition and potential expansion of treatment strategies.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532677","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
Stellate Ganglion Block for Treating Post-COVID Impairment of Taste and Smell. 星状神经节阻滞治疗新冠肺炎后味觉和嗅觉障碍
Pain medicine case reports Pub Date : 2024-11-01
Alaa Abd-Elsayed
{"title":"Stellate Ganglion Block for Treating Post-COVID Impairment of Taste and Smell.","authors":"Alaa Abd-Elsayed","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The loss of smell and taste are some of the chronic complications that have impacted and continue to impact patients who suffered a COVID-19 infection. Impairment of smell and taste have significant impact on patients' lives. Current treatment modalities are very limited.</p><p><strong>Case report: </strong>We present a 40-year-old patient who completely lost smell and taste following a COVID-19 infection. The patient was treated with bilateral stellate ganglion blocks (SGBs) where each side was blocked at separate visits. At the 6-month follow-up, taste and smell both improved by 90%.</p><p><strong>Conclusions: </strong>SGBs should be considered as an option in treating loss of smell and taste in patients who suffer this complication as a result of COVID-19 infection.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"261-263"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532673","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
Time to Treatment Versus Health Care Utilization in Compression Fractures Treated With Vertebral Augmentation: The Vertebral Augmentation Care Pathways Case Series. 椎体增强治疗压缩性骨折的治疗时间与医疗保健利用：椎体增强治疗途径病例系列。
Pain medicine case reports Pub Date : 2024-11-01
Emanuel Narcis Husu, Edward S Yoon, Neal H Shonnard, Justine Norwitz, Nell Shonnard, Douglas P Beall
{"title":"Time to Treatment Versus Health Care Utilization in Compression Fractures Treated With Vertebral Augmentation: The Vertebral Augmentation Care Pathways Case Series.","authors":"Emanuel Narcis Husu, Edward S Yoon, Neal H Shonnard, Justine Norwitz, Nell Shonnard, Douglas P Beall","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>There is little data on the economics of the timing of percutaneous vertebral augmentation (PVA) for vertebral compression fractures (VCFs).</p><p><strong>Case report: </strong>The purpose of this case series is to compare health care utilization (HCU) costs vs the time to treatment (TTT) of the VCF. The BenchMarket Medical VCF Registry (now Talosix) was utilized. Patients receiving acute or intermediate treatment had the greatest pain and function improvement and the lowest HCU costs. Patients receiving delayed treatment had the least improvement and the highest (3-fold) HCU costs. Any TTT delay resulted in higher HCU costs and diminished benefits. The most beneficial PVA outcome and lowest HCU costs were recorded in patients whose PVA was expedited and performed within 3 months from injury.</p><p><strong>Conclusions: </strong>This series suggests the best pain and function improvement and lowest HCU costs result from efficient, timely PVA.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"265-271"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532678","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
Successful Pain Management of Uncontrollable Left Wrist Pain With Peripheral Nerve Stimulation Following Failed Surgeries: A Case Report. 手术失败后不可控的左手腕疼痛与周围神经刺激的成功疼痛管理：1例报告。
Pain medicine case reports Pub Date : 2024-11-01
Robert Moghim, Mahmoud Morsi, Alaa Abd-Elsayed
{"title":"Successful Pain Management of Uncontrollable Left Wrist Pain With Peripheral Nerve Stimulation Following Failed Surgeries: A Case Report.","authors":"Robert Moghim, Mahmoud Morsi, Alaa Abd-Elsayed","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Complex regional pain syndrome (CRPS) of the left superficial radial nerve can present significant challenges in pain management, especially when conservative therapies and multiple surgeries fail to provide relief.</p><p><strong>Case report: </strong>This case study examines a 50-year-old patient with a history of CRPS type II of the left superficial radial nerve, who underwent 15 interventions, including 6 unsuccessful surgeries since 2021, and experienced extreme, uncontrolled pain after a work-related injury. After the permanent implantation of peripheral nerve stimulator (PNS) in November 2022, the patient enjoyed remarkable pain relief for the past one and a half years, with no signs of complications or necessity for further interventions. The PNS trial, permitted by work compensation rules, utilized a single incision technique, anchoring the leads to the brachioradialis fascia using a figure-of-eight 2.0 silk suture configuration.</p><p><strong>Conclusions: </strong>PNS has emerged as a valuable treatment modality for chronic pain following failed surgeries. This case study demonstrates the effectiveness of PNS in providing sustained pain relief for a patient with CRPS of the left superficial radial nerve. Further research is warranted to explore the long-term efficacy and safety of PNS in managing refractory pain conditions.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"293-397"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532675","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
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