title: [A case of intractable lower limb pain treated successfully by spinal cord stimulation with an electrode inserted retrogradely].
abstract: We experienced a case of intractable lower limb pain successfuly treated by spinal cord stimulation with an electrode inserted retrogradely. The patient is a 32 year-old-man suffering from intractable lower limb pain on the area innervated by the sciatic nerve from unidentified cause for about 4 years. We tried various treatments such as epidural block, S 1 nerve-root block including thermocoagulation technique, opiate. Nevertheless, his pain became worse further. Therefore, 6 years after the onset of the symptom, we tried to stimulate electrically the nerve with an electrode inserted retrogradely. This method of spinal cord stimulation produced enough pain reduction. The method of retrograde insertion of an electrode for spinal cord stimulation seems to be a good way to treat intractable pain of the area innervated by a single spinal nerve.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Tanabe
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Kimura
authors.forename: Naotoshi
authors.initials: N
authors.lastname: Kida
authors.forename: Akira
authors.initials: A
authors.lastname: Nakao
authors.forename: Kazuharu
authors.initials: K
authors.lastname: Miyazawa
authors.forename: Masako
authors.initials: M
authors.lastname: Iseki
authors.forename: Toyo
authors.initials: T
authors.lastname: Miyazaki
mesh_terms: D000328:Adult; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D006801:Humans; D035002:Lower Extremity; D008297:Male; D010148:Intractable Pain / Q000628:therapy*; D013116:Spinal Cord / Q000502:physiology*