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Long-Term Evolution of an Ependymoma-Related Pain Syndrome Managed with Spinal Cord Stimulation: A Case Report
Mariano Ferandez-Baena1, Laureano Delange-Segura1, Maria Teresa Palomino-Jimenez1
1Department of Anesthesiology. Pain Clinic. Regional University Hospital of Málaga, Malaga, Spain.
Background:
Ependymoma is the most common spinal tumor in adults. Its treatment is surgical and consists of maximum possible tumor resection. Although the recurrence rate is low, painful sequelae are also common. Electrical spinal cord stimulation (SCS) has demonstrated efficacy in neuropathic and postsurgical pain, and the efficacy and duration of relief can be improved through the use of new modalities, such as burst stimulation.
Case Report:
A 27-year-old woman with chronic severe painful sequelae in her lower limbs and thoracic region was found to be refractory to pharmacological treatment after total thoracic ependymoma resection. The successive use of spinal cord and/or peripheral nerve stimulation in tonic and burst modalities has provided consistent pain relief for approximately 10 years.
Conclusion:
Our experience suggests that SCS, in its various modalities, can be an adequate and long-lasting therapy for patients with pain secondary to resection of spinal cord tumors.
