Spinal cord stimulation in sympathetically maintained complex regional pain syndrome type I with severe disability. A prospective clinical study

  • Harke H
  • Gretenkort P
  • Ladleif H
 et al. 
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Abstract

BACKGROUND AND PURPOSE: In this prospective trial we assessed the long-term effect of spinal cord stimulation (SCS) on the improvement of functional status in complex regional pain syndrome type I (CRPS I). METHODS: A prerequisite for eligibility to SCS treatment was the responsiveness of patients to sympathetic nerve block. In 29 patients with chronic sympathetically maintained CRPS I, the efficacy of SCS on deep pain, allodynia and functional disability was determined. Pain intensity was estimated during SCS free intervals of 45 min (inactivation test) every 3 months and compared with that under SCS treatment. RESULTS: On SCS treatment, both deep pain and allodynia could be permanently reduced from 10 to 0-2 on a 10 cm visual analogue scale (VAS) (p

Author-supplied keywords

  • *Autonomic Nerve Block/mt [Methods]
  • *Electric Stimulation Therapy/mt [Methods]
  • *Reflex Sympathetic Dystrophy/th [Therapy]
  • *Spinal Cord/ph [Physiology]
  • *Sympathetic Nervous System/pp [Physiopathology]
  • Activities of Daily Living/px [Psychology]
  • Adult
  • Aged
  • Aged, 80 and over
  • Analgesics, Opioid/tu [Therapeutic Use]
  • Analgesics/tu [Therapeutic Use]
  • Antidepressive Agents/tu [Therapeutic Use]
  • Autonomic Nerve Block/ec [Economics]
  • Autonomic Nerve Block/is [Instrumentation]
  • Electrodes, Implanted/ec [Economics]
  • Female
  • Humans
  • Hyperalgesia/pp [Physiopathology]
  • Hyperalgesia/th [Therapy]
  • Male
  • Middle Aged
  • Neurosurgical Procedures/ec [Economics]
  • Neurosurgical Procedures/mt [Methods]
  • Pain Measurement
  • Patient Satisfaction/sn [Statistics & Numerical Da
  • Prospective Studies
  • Quality of Life/px [Psychology]
  • Reflex Sympathetic Dystrophy/pp [Physiopathology]
  • Spinal Cord/su [Surgery]
  • Treatment Outcome

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Authors

  • H Harke

  • P Gretenkort

  • H U Ladleif

  • S Rahman

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