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Spinal cord stimulation for central poststroke pain.

Mohamed M Aly1, Youichi Saitoh, Koichi Hosomi

  • 1Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Neurosurgery
|August 4, 2010
PubMed
Summary
This summary is machine-generated.

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Spinal cord stimulation (SCS) shows promise for treating central poststroke pain (CPSP). In a study of 30 patients, SCS provided significant pain relief for many, suggesting therapeutic potential for intractable CPSP.

Area of Science:

  • Neurology
  • Pain Management
  • Neurosurgery

Background:

  • Spinal cord stimulation (SCS) is effective for peripheral neuropathic pain, but its efficacy for central poststroke pain (CPSP) is not well-established.
  • Central poststroke pain (CPSP) is a debilitating condition often resistant to conventional treatments.

Purpose of the Study:

  • To evaluate the effectiveness of spinal cord stimulation (SCS) in patients with intractable central poststroke pain (CPSP).

Main Methods:

  • A prospective study involving 30 patients with intractable CPSP who underwent a percutaneous SCS trial.
  • Patients who benefited from the trial received a permanent SCS system.
  • Pain intensity was assessed using the Visual Analogue Scale (VAS), and overall improvement was measured by the Patient Global Impression of Change (PGIC) scale.

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Main Results:

  • During the trial, 30% of patients experienced good pain relief (>=50% VAS reduction), 20% had fair relief (30%-49% reduction), and 50% had poor relief (<30% reduction).
  • Of the 10 patients who received permanent SCS, 7 reported significant long-term pain relief (VAS reduction).
  • On the PGIC scale, 6 of these 7 patients reported being much improved, and 1 reported minimal improvement. No significant complications were reported.

Conclusions:

  • Spinal cord stimulation (SCS) may offer significant pain improvement for patients suffering from intractable central poststroke pain (CPSP).
  • SCS demonstrates therapeutic potential as a treatment option for refractory CPSP.