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
em En
| WPRIM
| ID: wpr-91090
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Dor Intratável
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Medula Espinal
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Terapia por Estimulação Elétrica
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Seguimentos
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Neuralgia Pós-Herpética
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Insuficiência Renal Crônica
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Estimulação da Medula Espinal
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Taxa de Filtração Glomerular
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Estâncias para Tratamento de Saúde
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Rim
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
The Korean Journal of Pain
Ano de publicação:
2011
Tipo de documento:
Article