| Klippel-Trénaunay syndrome: treatment of lower extremity pain with a spinal cord stimulator. | |
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MedLine Citation:
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PMID: 19769812 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A young adult man with Klippel-Trénaunay syndrome presented to our pain management service with complaints of severe lower extremity neuropathic pain (pain scale 8 of 10 on the left and 4 of 10 on the right). The pain in his left leg was so severe that he wanted to undergo a left lower extremity amputation. The patient declined chronic use of narcotic medications for pain relief, believing that this would interfere with his educational and lifestyle pursuits. After a complete evaluation for possible sources of pain, we performed a trial placement of a spinal cord stimulator at the T9 level, which relieved his pain. We then placed a stimulator at the T10 level. At 1 year postimplantation, he was pain free (pain scale 1 of 10 bilaterally) and was able to function normally without narcotic support. We believe this to be the first use of a spinal cord stimulator for lower extremity pain resulting from Klippel-Trénaunay syndrome. We also discuss the clinical evaluation and treatment of a Klippel-Trénaunay syndrome patient with chronic pain. |
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Authors:
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Randall W Franz; Aleksey Prok |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Vascular Volume: 17 ISSN: 1708-5381 ISO Abbreviation: Vascular Publication Date: 2009 Sep-Oct |
Date Detail:
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Created Date: 2009-09-22 Completed Date: 2009-11-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101196722 Medline TA: Vascular Country: Canada |
Other Details:
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Languages: eng Pagination: 293-5 Citation Subset: IM |
Affiliation:
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Vascular and Vein Center, Grand Medical Center, Columbus, OH 43325, USA. RFranz2@ohiohealth.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Electric Stimulation Therapy
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instrumentation,
methods* Humans Klippel-Trenaunay-Weber Syndrome / therapy* Lower Extremity* / blood supply Magnetic Resonance Angiography Male Pain / etiology, therapy* Spinal Cord* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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