高频脊髓刺激治疗纤维肌痛综合征2例疗效观察：病例报告。

Pub Date : 2023-10-21 DOI:10.1186/s40981-023-00660-6

Mikiko Horita, Ayumi Yasuhira, Mikako Hirakawa, Aisa Watanabe, Nobuhiro Higaki, Tasuku Nishihara, Toshihiro Yorozuya

{"title":"高频脊髓刺激治疗纤维肌痛综合征2例疗效观察：病例报告。","authors":"Mikiko Horita, Ayumi Yasuhira, Mikako Hirakawa, Aisa Watanabe, Nobuhiro Higaki, Tasuku Nishihara, Toshihiro Yorozuya","doi":"10.1186/s40981-023-00660-6","DOIUrl":null,"url":null,"abstract":"Background: Reports on the effectiveness of spinal cord stimulation (SCS) for the alleviation of fibromyalgia syndrome (FMS) pain are scarce. We report two cases of effective high-frequency SCS at 1000 Hz against upper- and lower-limb pain in patients with FMS.Case presentation: Two women with widespread pain were diagnosed with FMS and the pain gradually worsened. A 1-week SCS trial was conducted in each patient. In both cases, the patients complained of unpleasant sensations during 10-Hz SCS. However, the pain was alleviated after 1000-Hz stimulation without irritation. Therefore, leads and a generator were implanted, after which they felt almost no pain. Moreover, the dose of the oral medication could be reduced and the patients returned to their daily lives.Conclusion: SCS at 1000 Hz may effectively treat pain associated with FMS. Therefore, performing an SCS trial for patients with FMS with intractable pain might be worthwhile.","PeriodicalId":0,"journal":{"name":"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590350/pdf/","citationCount":"0","resultStr":"{\"title\":\"Efficacy of high-frequency spinal cord stimulation for fibromyalgia syndrome in two cases: case reports.\",\"authors\":\"Mikiko Horita, Ayumi Yasuhira, Mikako Hirakawa, Aisa Watanabe, Nobuhiro Higaki, Tasuku Nishihara, Toshihiro Yorozuya\",\"doi\":\"10.1186/s40981-023-00660-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Reports on the effectiveness of spinal cord stimulation (SCS) for the alleviation of fibromyalgia syndrome (FMS) pain are scarce. We report two cases of effective high-frequency SCS at 1000 Hz against upper- and lower-limb pain in patients with FMS.Case presentation: Two women with widespread pain were diagnosed with FMS and the pain gradually worsened. A 1-week SCS trial was conducted in each patient. In both cases, the patients complained of unpleasant sensations during 10-Hz SCS. However, the pain was alleviated after 1000-Hz stimulation without irritation. Therefore, leads and a generator were implanted, after which they felt almost no pain. Moreover, the dose of the oral medication could be reduced and the patients returned to their daily lives.Conclusion: SCS at 1000 Hz may effectively treat pain associated with FMS. Therefore, performing an SCS trial for patients with FMS with intractable pain might be worthwhile.\",\"PeriodicalId\":0,\"journal\":{\"name\":\"\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0,\"publicationDate\":\"2023-10-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590350/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40981-023-00660-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40981-023-00660-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

背景：关于脊髓刺激（SCS）缓解纤维肌痛综合征（FMS）疼痛的有效性的报道很少。我们报告了两例在1000Hz下对FMS患者的上下肢疼痛进行有效的高频SCS治疗。病例介绍：两名患有广泛疼痛的女性被诊断为FMS，疼痛逐渐恶化。对每位患者进行为期1周的SCS试验。在这两种情况下，患者都抱怨在10Hz SCS期间有不愉快的感觉。然而，在没有刺激的情况下，1000Hz刺激后疼痛减轻。因此，植入了导线和发生器，之后他们几乎没有疼痛感。此外，口服药物的剂量可以减少，患者可以恢复日常生活。结论：1000Hz脊髓刺激可有效治疗FMS引起的疼痛。因此，对伴有顽固性疼痛的FMS患者进行SCS试验可能是值得的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

摘要图片

查看原文

微信好友朋友圈 QQ好友复制链接

Efficacy of high-frequency spinal cord stimulation for fibromyalgia syndrome in two cases: case reports.

Background: Reports on the effectiveness of spinal cord stimulation (SCS) for the alleviation of fibromyalgia syndrome (FMS) pain are scarce. We report two cases of effective high-frequency SCS at 1000 Hz against upper- and lower-limb pain in patients with FMS.

Case presentation: Two women with widespread pain were diagnosed with FMS and the pain gradually worsened. A 1-week SCS trial was conducted in each patient. In both cases, the patients complained of unpleasant sensations during 10-Hz SCS. However, the pain was alleviated after 1000-Hz stimulation without irritation. Therefore, leads and a generator were implanted, after which they felt almost no pain. Moreover, the dose of the oral medication could be reduced and the patients returned to their daily lives.

Conclusion: SCS at 1000 Hz may effectively treat pain associated with FMS. Therefore, performing an SCS trial for patients with FMS with intractable pain might be worthwhile.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助