脊髓刺激诱导的胃衰竭:一个病例报告
Anusha Manjunath1, Chirag Goel1, Archit Bharathwaj Baskaran2
1Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States.
Surgical neurology international
|August 10, 2023
概括
脊髓刺激 (SCS) 可以导致严重便秘,这是一个罕见的胃肠道副作用. 这一案例凸显了对SCS进一步研究的需要.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 脊髓刺激 (SCS) 用可植入装置治疗慢性神经病痛.
- 潜在的并发症包括感染,电极问题和缺乏疗效.
- SCS 的胃肠道 (GI) 副作用的记录很少.
研究的目的:
- 报告在SCS植入后出现严重便秘的情况.
- 讨论潜在的机制和进一步研究SCS诱导的胃肠道副作用的需要.
主要方法:
- 一个42岁的慢性神经病痛患者的病例报告.
- 带有开放线的SCS植入.
- 胃肠病学评估,运动性研究和肠道饮食管理.
主要成果:
- 患者最初经历了显著的疼痛缓解.
- 在SCS植入后18个月出现了严重的便秘.
- 症状持续,导致SCS被切除.
结论:
- SCS诱导的胃肠道副作用的确切机制尚不清楚.
- 胃肠道的偏交阻塞是一个潜在的理论.
- 需要进一步的研究来了解SCS对肠道系统的影响.
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