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Stimulation of conus-epiconus with pisces. Further indications
Acta Neurochirurgica. Supplementum
|January 1, 1980
Summary
Epidural stimulation using implanted electrodes effectively reduced pain and discomfort in patients with sacral and coccygeal conditions. This innovative approach provided relief for various sensitive and vegetative symptoms.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Sacral and coccygeal pain, including coccygodynia, often involves sensitive and vegetative symptoms.
- Existing treatments may not fully address the complex sensory and autonomic dysfunction associated with these conditions.
Purpose of the Study:
- To evaluate the efficacy of epidural stimulation via implanted bipolar electrodes for managing pain and associated symptoms in the sacral and coccygeal regions.
Main Methods:
- Seven patients with sacral/coccygeal pain and perineal/pelvic discomfort underwent epidural electrode implantation.
- Electrodes were placed epidurally, targeting the conus and epiconus, with optimal placement determined by stimulation (levels D10-L1 or D7-D8).
- Stimulation efficacy was assessed in standing or sitting positions prior to electrode fixation.
Main Results:
- All seven patients experienced a reduction in pain and sensitive/vegetative symptoms.
- The stimulation successfully alleviated discomfort in the perineum, anus, rectum, bladder, and vagina.
Conclusions:
- Epidural stimulation of the conus and epiconus is a viable therapeutic option for patients suffering from sacral/coccygeal pain and related vegetative symptoms.
- This neuromodulation technique offers a promising approach to managing complex pelvic pain conditions.