title: [A case of spasticity following spinal cord injury improved by epidural spinal cord stimulation].
abstract: Epidural spinal cord stimulation was performed in a patient complaining of spasticity with intractable pain after operation of metastatic spinal tumor. The end of the electrode was positioned along a line extending down the 11th vertebral body. Following confirmation of satisfactory effects during 10 days of trial stimulation, the electrode was permanently implanted. Excellent pain relief (80%) and significant relaxation of spasticity resulted in a medication free period with improved daily activities. Although the treatment of this case resulted in clinical success, the problem concerning the payment of the transmitter remained. We hope that the health insurance system will extend its indications to cover medical fees for the transmitter.
authors.affiliation: Department of Anesthesiology, Tokyo Women's Medical College.
authors.forename: Y
authors.initials: Y
authors.lastname: Nomura
authors.forename: A
authors.initials: A
authors.lastname: Fukuuchi
authors.forename: M
authors.initials: M
authors.lastname: Iwade
authors.forename: Y
authors.initials: Y
authors.lastname: Mukuboh
authors.forename: M
authors.initials: M
authors.lastname: Kawamata
authors.forename: H
authors.initials: H
authors.lastname: Suzuki
authors.forename: Y
authors.initials: Y
authors.lastname: Katoh
authors.forename: T
authors.initials: T
authors.lastname: Itoh
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery; D004599:Electric Stimulation Therapy / Q000379:methods*; D004824:Epidural Space; D006801:Humans; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000628:therapy*; D010149:Postoperative Pain / Q000628:therapy*; D013035:Spasm / Q000628:therapy*; D013116:Spinal Cord; D013120:Spinal Cord Neoplasms / Q000556:secondary / Q000601:surgery