• World Neurosurg · Mar 2014

    Spinal cord stimulation for visceral pain related to chronic pancreatitis: report of 2 cases.

    • Francesco Vergani, Alexandros Boukas, Nitin Mukerji, Nishma Nanavati, Claire Nicholson, and Alistair Jenkins.
    • Neurosurgical Department, Regional Neurosciences Centre, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom. Electronic address: francesco.vergani@nuth.nhs.uk.
    • World Neurosurg. 2014 Mar 1;81(3-4):651.e17-9.

    ObjectiveTo report our experience related to the use of spinal cord stimulation (SCS) for relief of chronic pancreatitis-related neuropathic visceral pain.MethodsTwo patients, 50 years old and 39 years old, presented with intractable visceral pain related to chronic pancreatitis. A quadripolar electrode for SCS was inserted at the T8-10 level using a percutaneous technique. After a successful trial, a permanent stimulator was inserted.ResultsAt a mean follow-up of 7 years, both patients showed a marked improvement, with 80% and 90% decrease of pain, respectively, as assessed by Visual Analogue Scale. Pain medications were discontinued in both cases.ConclusionsSCS appears to be an effective long-term treatment for neuropathic visceral pain related to chronic pancreatitis.Copyright © 2014 Elsevier Inc. All rights reserved.

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