脊髓刺激和鞘内给药系统治疗妊娠II型复杂局部疼痛综合征1例。

Pain medicine case reports Pub Date : 2024-04-01
Michael Glicksman, Anishinder Parkash, Suresh Srinivasan, Michael E Farrell Ii, Gaurav Chauhan
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引用次数: 0

摘要

背景:复杂局部疼痛综合征(CRPS)是一种难以治疗的慢性疼痛疾病。当有指示时,脊髓刺激器(SCS)治疗可以作为一种解决方案。鞘内给药系统(IDDS)很少与SCS一起使用以增强镇痛。考虑到女性易患CRPS,妊娠和CRPS并存的情况可能会越来越多。病例报告:一位孕妇因CRPS II型而出现右下肢疼痛。在这里,我们提出了第一例在整个妊娠期间继续使用SCS和IDDS治疗的妇女。她的怀孕、分娩和分娩过程都很简单。这婴儿在一岁时达到了所有发育的里程碑。结论:需要进一步研究SCS和IDDS在妊娠期间的安全性,以确定其对母亲和胎儿的影响。在此之前,继续这些治疗的决定应该单独考虑,并在患者、产科和疼痛管理团队之间密切合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spinal Cord Stimulation and Intrathecal Drug Delivery System Therapy in a Pregnant Patient with Complex Regional Pain Syndrome Type II: A Case Report.

Background: Complex Regional Pain Syndrome (CRPS) is a difficult-to-treat chronic pain condition. When indicated, spinal cord stimulator (SCS) therapy can serve as a solution. Rarely, intrathecal drug delivery system (IDDS) can be used with SCS to enhance analgesia. Given women's predisposition towards CRPS, there may be an increasing co-existence of pregnancy and CRPS.

Case report: A pregnant woman presented with right lower extremity pain due to CRPS type II. Here, we present the first case of a woman who continued SCS and IDDS therapies throughout pregnancy. She had an uncomplicated pregnancy, labor, and delivery. The baby achieved all developmental milestones at one year.

Conclusion: Further research on the safety of SCS and IDDS during pregnancy is required to determine their effects on the mother and fetus. Until then, the decision to continue these therapies should be considered individually and with close collaboration among the patient, obstetrics, and pain management teams.

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