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Rev Bras Anestesiol · Oct 2007
[Spinal cord stimulation in the treatment of refractory painful polineuropathy induced by chemotherapy.].
- José Luciano Braun Filho and Leandro Mamede Braun.
- CLIMDOR.
- Rev Bras Anestesiol. 2007 Oct 1;57(5):533-8.
Background And ObjectivesPainful polyneuropathy after chemotherapy is often refractory to conservative clinical treatment. The objective of this report was to demonstrate that spinal cord stimulation is an alternative to conventional methods used in the treatment of patients with pain that is difficult to control.Case ReportA 72 year old patient with painful polyneuropathy after chemotherapy approximately 10 years ago, presented severe, continuous, daily pain (visual analog scale = 10) in the lower limbs despite the use of several drugs specific for neuropathic pain. An epidural electrode was implanted, with significant improvement in pain (visual analog scale = 3) and reduction in the consumption of medication.ConclusionSpinal cord stimulation constitutes a therapeutic option in patients with peripheral neuropathy refractory to conventional clinical management when properly indicated and within established criteria.
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