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Thoracic Spinal Cord Stimulation and Radiofrequency Thermocoagulation of Lumbar Sympathetic Ganglion in a Patient with Complex Regional Pain Syndrome in the Lower Extremity -A case report-  

Kim, Shi Hyeon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University)
Moon, Dong Eon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University)
Park, Chong Min (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University)
Ryu, Keon Hee (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University)
Seo, Kyung Soo (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University)
You, Sie Hyun (Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital)
Publication Information
The Korean Journal of Pain / v.18, no.2, 2005 , pp. 240-245 More about this Journal
Abstract
Herein is described the successful treatment of complex regional pain syndrome type II with the combination treatment of spinal cord stimulation and radiofrequency thermocoagulation of the lumbar sympathetic ganglion. A 62 years old male patient, suffering from CRPS type II in his left lower extremity, visited our pain clinic. Medication and nerve blockade produced only slight improvement in his symptoms and signs. Therefore, a linear type spinal cord simulator was inserted into the thoracic epidural space, using a non-surgical percutaneous approach, with the cephalad lead located at the T11 level. Two months later, the repositioning of the electrode to the T12 level for more effective pain control, with radiofrequency thermocoagulation of lumbar sympathetic ganglion also performed at the left L2 and 3 levels for the control of trophic change. These resulted in significant pain relief and decreased trophic change, with no complications, after which the patient was able to resume a normal life.
Keywords
complex regional pain syndrome; radiofrequency thermocoagulation of lumbar sympathetic ganglion; spinal cord stimulation;
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