| Spinal cord stimulation (SCS) in deafferentation pain. | |
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MedLine Citation:
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PMID: 2470055 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spinal cord stimulation is considered to be ineffective in relieving deafferentation pain. We have retrospectively analyzed the results obtained in a series of 41 patients. Sixteen suffered from pain associated with an incomplete traumatic spinal lesion, 15 from a posttherapeutic neuralgia, and 10 from pain due to root and/or nerve damage. At the end of the test period, 43.7% of the patients with paraplegic pain, (40% of those with peripheral deafferentation pain and 66.6% of the ones with postherapeutic neuralgia), reported satisfactory pain relief and were connected to a chronic stimulation system. At mean follow-up (15 months), only 20% of the patients of the first two groups reported sufficient pain relief. In the postherapeutic group the figure of responders was unchanged. The mean analgesia achieved was 70%. From this analysis we conclude that the results achieved in the postherapeutic pain patients, although positive in only 66% of them, are remarkably stable with time. Therefore, we recommend a percutaneous test trial of SCS in every case of postherapeutic pain resistant to medical treatment. |
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Authors:
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M Meglio; B Cioni; A Prezioso; G Talamonti |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 12 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1989 Apr |
Date Detail:
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Created Date: 1989-06-12 Completed Date: 1989-06-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 709-12 Citation Subset: IM |
Affiliation:
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Instituto di Neurochirurgia, Università Cattolica, Roma, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Afferent Pathways Aged Electric Stimulation Therapy* Female Humans Male Middle Aged Neuralgia / therapy* Palliative Care / methods* Peripheral Nervous System Diseases / therapy* Spinal Cord / physiology* Spinal Cord Injuries / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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