Spinal cord stimulator relieves neuropathic pain in a patient with radiation-induced transverse myelitis.
We present a patient with intractable neuropathic pain because of radiation-induced transverse myelitis unresponsive to medical treatment. After a successful trial of spinal cord stimulation, a permanent stimulator was implanted. Improvement was noted in verbal pain score, medication usage and function. Spinal cord stimulation may offer a therapeutic option for patients with neuropathic pain resulting from transverse myelitis and should be considered when other treatments fail.
Hamid
Basem
B
Department of Anesthesia and Pain Medicine, UTMD Anderson Cancer Center, Houston, Texas 77030, USA. bhamid@mdanderson.org
Haider
Naeem
N
D000701:Analgesics, Opioid / Q000008:administration & dosage; D018687:Antidepressive Agents, Second-Generation / Q000008:administration & dosage; D002289:Carcinoma, Non-Small-Cell Lung / Q000532:radiotherapy; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy; D008297:Male; D008691:Methadone / Q000008:administration & dosage; D008875:Middle Aged; D009188:Myelitis, Transverse / Q000150:complications*; D009437:Neuralgia / Q000209:etiology / Q000628:therapy*; D017374:Paroxetine / Q000008:administration & dosage; D011832:Radiation Injuries / Q000150:complications*; D013116:Spinal Cord / Q000502:physiology*
D000701:Analgesics, Opioid; D018687:Antidepressive Agents, Second-Generation; D017374:Paroxetine; D008691:Methadone