高频脊髓刺激治疗纤维肌痛综合征2例疗效观察:病例报告。

IF 0.8 Q3 ANESTHESIOLOGY
Mikiko Horita, Ayumi Yasuhira, Mikako Hirakawa, Aisa Watanabe, Nobuhiro Higaki, Tasuku Nishihara, Toshihiro Yorozuya
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引用次数: 0

摘要

背景:关于脊髓刺激(SCS)缓解纤维肌痛综合征(FMS)疼痛的有效性的报道很少。我们报告了两例在1000Hz下对FMS患者的上下肢疼痛进行有效的高频SCS治疗。病例介绍:两名患有广泛疼痛的女性被诊断为FMS,疼痛逐渐恶化。对每位患者进行为期1周的SCS试验。在这两种情况下,患者都抱怨在10Hz SCS期间有不愉快的感觉。然而,在没有刺激的情况下,1000Hz刺激后疼痛减轻。因此,植入了导线和发生器,之后他们几乎没有疼痛感。此外,口服药物的剂量可以减少,患者可以恢复日常生活。结论:1000Hz脊髓刺激可有效治疗FMS引起的疼痛。因此,对伴有顽固性疼痛的FMS患者进行SCS试验可能是值得的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Efficacy of high-frequency spinal cord stimulation for fibromyalgia syndrome in two cases: case reports.

Efficacy of high-frequency spinal cord stimulation for fibromyalgia syndrome in two cases: case reports.

Efficacy of high-frequency spinal cord stimulation for fibromyalgia syndrome in two cases: case reports.

Background: Reports on the effectiveness of spinal cord stimulation (SCS) for the alleviation of fibromyalgia syndrome (FMS) pain are scarce. We report two cases of effective high-frequency SCS at 1000 Hz against upper- and lower-limb pain in patients with FMS.

Case presentation: Two women with widespread pain were diagnosed with FMS and the pain gradually worsened. A 1-week SCS trial was conducted in each patient. In both cases, the patients complained of unpleasant sensations during 10-Hz SCS. However, the pain was alleviated after 1000-Hz stimulation without irritation. Therefore, leads and a generator were implanted, after which they felt almost no pain. Moreover, the dose of the oral medication could be reduced and the patients returned to their daily lives.

Conclusion: SCS at 1000 Hz may effectively treat pain associated with FMS. Therefore, performing an SCS trial for patients with FMS with intractable pain might be worthwhile.

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来源期刊
JA Clinical Reports
JA Clinical Reports ANESTHESIOLOGY-
CiteScore
1.30
自引率
0.00%
发文量
90
审稿时长
9 weeks
期刊介绍: JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.
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