Spinal cord stimulation as a novel approach to the treatment of refractory neuropathic mediastinal pain.
Spinal cord stimulation (SCS) offers new hope for patients with neuropathic pain. SCS "neuromodulates" the transmission and response to "painful" stimuli. The efficacy of SCS has been established in the treatment of a variety of neuropathic pain conditions and more recently in refractory angina pectoris, peripheral vascular disease, and failed back surgery syndrome. Recent publications suggest that visceral pain could be successfully treated with SCS. We report the first successful use of a spinal cord stimulator in the treatment of refractory neuropathic mediastinal, esophageal, and anterior neck pain following esophagogastrectomy.
Guttman
Oren T
OT
Department of Anesthesiology, Pain Management Division, Mount Sinai School of Medicine, New York, New York 10029, USA. oren.guttman@mssm.edu
Hammer
Adam
A
Korsharskyy
Boleslav
B
D000344:Afferent Pathways / Q000502:physiology; D001471:Barrett Esophagus / Q000150:complications / Q000209:etiology / Q000503:physiopathology; D002637:Chest Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods*; D004566:Electrodes / Q000592:standards; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000294:innervation / Q000503:physiopathology*; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D010147:Pain Measurement; D010148:Intractable Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010149:Postoperative Pain / Q000628:therapy; D010437:Peptic Ulcer / Q000150:complications / Q000601:surgery; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D020671:Posterior Horn Cells / Q000502:physiology; D013116:Spinal Cord / Q000502:physiology*; D016896:Treatment Outcome; D017833:Visceral Afferents / Q000503:physiopathology