周围神经刺激对于上肢后神经疼痛的耐火病例:一个病例报告
Arun Kalava1, Simeon V Mihaylov2, Harriet Kaye Austin1
1Anesthesiology, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|April 1, 2024
概括
后神经疼痛 (PHN) 是由VZV重新激活引起的慢性神经疼痛. 周围神经刺激 (PNS) 有效地管理了一个病人.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 病毒学 病毒学
背景情况:
- 后神经痛 (PHN) 是一种在疹 (shingles) 之后的持续性神经病痛综合征.
- 它是由疹病毒 (VZV) 的重新激活引起的,导致神经损伤和慢性疼痛.
- 目前的治疗方法包括局部药物,全身药物 (SNRIs, gabapentin,pregabalin,阿片类药物) 和耐火病例的干预技术.
研究的目的:
- 报告一个上肢PHN的病例.
- 评估外周神经刺激 (PNS) 对耐火PHN的疗效.
- 突出PNS作为一种治疗选择,患者未能保守的管理.
主要方法:
- 一名患有持续的上肢PHN的患者接受了治疗.
- 使用了包括局部药物和全身药物在内的保守疗法.
- 对于难以治愈的疼痛,进行了周围神经刺激 (PNS).
主要成果:
- 患者在PNS后经历了显著的疼痛缓解.
- 保守的管理策略提供了不足的疼痛控制.
- PNS在管理耐火上肢PHN方面表现出有效性.
结论:
- 周围神经刺激 (PNS) 是一种可行的干预选择,用于耐火性后神经疼痛 (PHN).
- 慢性神经病痛可以改善慢性神经病痛患者的生活质量.
- 对PHN管理的PNS进行进一步的研究是有必要的.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...


