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Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis
Journal of Korean Neurosurgical Society, 10/23/09
Kim JK et al. – The authors report a case of spinal cord stimulation (SCS) for intractable pain due to chronic pancreatitis. The patient had a history of nonalcoholic chronic pancreatitis and multiple emergency room visits as well as repeated hospitalization including multiple nerve block and morphine injection for 3 years. The authors implanted surgical lead at T6–8 level on this patient after successful trial of percutaneous electrode. The patient experienced a decreased visual analog scale (VAS) scores for pain intensity and amount of opioid intake. The patient was followed for more than 14 months with good outcome and no further hospitalization. From this clinical case, spinal cord stimulation on intractable pain due to chronic pancreatitis revealed moderate pain control outcome. The authors suggest that SCS is an effective, noninvasive treatment option for abdominal visceral pain. Further studies and long term follow–up are needed to fully understand the effect of SCS on abdominal visceral pain.
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