Spinal Cord Stimulation in the Treatment of Postherpetic Neuralgia in Patients with Chronic Kidney Disease: A Case Series and Review of the Literature
The Korean Journal of Pain
;
: 154-157, 2011.
Article
in English
| WPRIM
| ID: wpr-91090
ABSTRACT
BACKGROUND:
Postherpetic neuralgia (PHN) is usually managed pharmacologically. It is not uncommon for patients with chronic kidney disease (CKD) to suffer from PHN. It is difficult to prescribe a sufficient dose of anticonvulsants for intractable pain because of the decreased glomerular filtration rate. If the neural blockade and pulsed radiofrequency ablation provide only short-term amelioration of pain, spinal cord stimulation (SCS) with a low level of evidence may be used only as a last resort. This study was done to evaluate the efficacy of spinal cord stimulation in the treatment of PHN in patients with CKD.METHODS:
PHN patients with CKD who needed hemo-dialysis who received insufficient relief of pain over a VAS of 8 regardless of the neuropathic medications were eligible for SCS trial. The follow-up period was at least 2 years after permanent implantation.RESULTS:
Eleven patients received percutaneous SCS test trial from Jan 2003 to Dec 2007. Four patients had successfully received a permanent SCS implant with their pain being tolerable at a VAS score of less than 3 along with small doses of neuropathic medications.CONCLUSIONS:
SCS was helpful in managing tolerable pain levels in some PHN patients with CKD along with tolerable neuropathic medications for over 2 years.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Intractable
/
Spinal Cord
/
Electric Stimulation Therapy
/
Follow-Up Studies
/
Neuralgia, Postherpetic
/
Renal Insufficiency, Chronic
/
Spinal Cord Stimulation
/
Glomerular Filtration Rate
/
Health Resorts
/
Kidney
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2011
Type:
Article
Similar
MEDLINE
...
LILACS
LIS