Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2009;5(1):64-66.
Published online June 30, 2009.
Double Specify Spinal Cord Stimualtion for Complex Regional Pain Syndrome, Type 2
Dong Moon Jeong, Moo Seong Kim, Sang Wook Joo, Seung Jin No, Seung Hwa Paeng, Se Young Pyo, Young Gyun Jeong, Sun Il Lee, Yong Tae Jung, Hae Woong Jeong
Departments of Neurosurgery, Diagnostic Radiology, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea
Abstract
Objective
Complex regional pain syndrome (CRPS) management includes specific detail with concurrent, interdependent, and sequentrial increments. We assesed with totally resistant CRPS type 2 who remain in severe pain and disability despite all other therapies. Among one of them, operated cervical and low thoracic specify spinal cord stimualtion (SCS), 1.5year interval. Method: A 42-year-male patient had spinal cord injury after fall down. All extremities pain (esp. Both legs pain) was severe and CRPS symptom was developed, 10year later.
Results
All treatment was not effective for him, he received low thoracic spinal cord stimulation operation in January-2006. His symptom was improved from visual analogue scale (VAS) 10 to VAS 3. But, both wrists and hands pain was aggravated and then. So, he received many therapies, but it was not effective. He received low cervical spinal cord stimulation in July-2007. His VAS was improved from 10 to 5.
Conclusion
SCS is very effective for intractable CRPS patients.
Key Words: Complex regional pain syndrome, Spinal cord stimulation, Pain.


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