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The Beneficial Effect of Spinal Cord Stimulation in a Patient With Severe Cerebral Ischemia and Upper Extremity Ischemic Pain
Author(s) -
De Andrés Jose,
Tatay Jose,
Revert Amparo,
Valía J. C.,
Villanueva V.
Publication year - 2007
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2007.00121.x
Subject(s) - medicine , ischemia , cerebral blood flow , anesthesia , spinal cord stimulation , blood flow , spinal cord , stimulation , cardiology , psychiatry
Spinal cord stimulation (SCS) is used in the treatment of chronic pain, ischemia because of obstructive arterial disease, and anginal pain. Recently, a number of studies have described the effects of the high cervical SCS, including increased cerebral blood flow, although the underlying mechanisms are unknown. This case report describes a patient with a severe complex ischemic condition affecting both cerebral and upper limb blood flow with an associated complex regional pain syndrome in upper limb. While all previous clinical treatments proved ineffective, cervical SCS afforded satisfactory results. Possible mechanisms underlying the cervical SCS effect are discussed.