Spinal Cord Stimulation in Refractory Postherpetic Neuralgia in Portugal: A Case Report.

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Acta medica portuguesa Pub Date : 2024-06-03 Epub Date: 2024-02-21 DOI:10.20344/amp.20524
Ana Inês Silva, Margarida Barbosa, Paula Barbosa, Luís Guimarães, Armanda Gomes
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Abstract

Postherpetic neuralgia is one of the most severe complications after herpes zoster infection. Patients who experience persistent pain despite conservative treatment may benefit from interventional therapies, such as spinal cord stimulation. We present the case of a patient with severe refractory postherpetic neuralgia in the right T8 to L1 distribution who responded effectively to spinal cord stimulation. After its implantation, the patient had improvements in pain intensity, pain-related interference, quality of life, and satisfaction, with a simultaneous reduction of previous medications. This case report highlights the role of spinal cord stimulation in refractory neuropathic pain secondary to herpes zoster.

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脊髓刺激治疗葡萄牙难治性带状疱疹后神经痛:病例报告。
带状疱疹后遗神经痛是带状疱疹感染后最严重的并发症之一。保守治疗后仍有持续疼痛的患者可能会从脊髓刺激等介入疗法中获益。我们介绍了一例右侧 T8 至 L1 分布严重难治性带状疱疹后遗神经痛患者的病例,该患者对脊髓刺激有效。植入脊髓刺激器后,患者的疼痛强度、疼痛相关干扰、生活质量和满意度均有所改善,同时还减少了之前使用的药物。本病例报告强调了脊髓刺激术在继发于带状疱疹的难治性神经病理性疼痛中的作用。
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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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