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在胸脊柱脊髓刺激器后出现新发作头痛和神经问题的一系列病例

Ramkumar Kalaiyarasan¹, Hemkumar Pushparaj¹, Manohar Sharma¹

¹Department of Pain Medicine and Neuromodulation, The Walton centre NHS foundation Trust, Liverpool, UK.

British journal of pain

|January 8, 2025

概括

脊髓刺激器 (SCS) 治疗可以导致罕见的神经问题,如头痛. 在四个病例中,这些症状持续存在,导致尽管有疼痛缓解,但仍然需要移除设备.

科学领域:

神经学神经学
疼痛管理疼痛管理
神经外科神经外科

背景情况:

脊髓刺激器 (SCS) 治疗是慢性神经病痛的常见治疗方法.
虽然通常是安全的,但可能会发生不常见的不良神经事件.
头痛是SCS的较少报告的并发症.

研究的目的:

报告一系列在SCS植入后出现不寻常的神经并发症的病例.
调查这些不良事件背后的潜在机制.
突出管理与SCS相关的神经症状的挑战.

主要方法:

在SCS启动后出现了新的神经症状的四名患者的病例系列介绍.
详细描述症状,包括头痛,面部抽和耳.
关于SCS参数调整和诊断评估的文档.

主要成果:

四名患者出现了与SCS激活暂时相关的新发的神经症状.
症状包括头痛,面部抽和耳,尽管最初的疼痛缓解.
尽管进行了SCS重编程和广泛的治疗,神经症状仍然存在.

结论:

不寻常的神经系统并发症,如头痛,可以发生在SCS治疗.
潜在的机制可能涉及三角神经激活和神经可塑性.
症状持续可能需要SCS扩张,即使有效治疗疼痛.

关键词:

背部疼痛背部疼痛慢性疼痛是一种慢性疼痛.头痛是一种头痛.腰部疼痛腰部疼痛腰部疼痛腰部疼痛疼痛难以治愈的难以治愈的疼痛的感知疼痛的感知疼痛手术后的疼痛疼痛门疼痛门疼痛门

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