Efficacy of high frequency spinal cord stimulation for the treatment of Buerger’s disease: a case report - Efficacia della stimolazione midollare ad alta frequenza per il trattamento del morbo di Buerger: caso clinico

Pathos

Giuliano De Carolis¹  Lara Tollapi²  Franca Bondi²  Adriana Paolicchi²  Mery Paroli²  Antonella Martini² 

[1] Anesthesiology and Pain Therapy Unit, Az Osp Universitaria Pisana ;Anesthesiology and Pain Therapy Unit, S. Chiara Hosp, Pisa, Italy;

关键词: chronic pain;    high frequency stimulation;    tonic stimulation;    Buerger Disease (BD);    quality of life;   

DOI  :  10.30458/PA2016-158

来源: DOAJ

【 摘 要 】

SCS are used extensively in refractory peripheral artherosclerotic disease. The patient was a 50 year-old woman smoker affected by advanced Buerger’s disease with pain localized mostly in the distal extremities of lower limbs. Following the failure of different treatments we suggested performing SCS to obtain better pain control and better microcirculation. In 2009 the patient underwent SCS implantation and in May 2012, was found to have a decubitus ulcer in the area of the subcutaneous pocket. In October 2012 we implanted a high frequency SCS. We used a 10 cm VAS and ESAS Edmonton Symptoms Assessment Scale) to evaluate difference in quality of life, sleep, disability, pain relief and Patient Global Impression Scale (PGIS) to compare the patient’s satisfaction between treatments. The patient reported a significant improvement in pain reduction with both types of stimulators(tonic and high frequency). The quality of life improved more with the high frequency stimulation and the patient considers high frequency stimulation more effective than tonic stimulation. Our case report suggests that high frequency SCS can be a useful therapy for ischemic pain control.

【 授权许可】

Unknown