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http://dx.doi.org/10.3340/jkns.2009.46.2.165

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis  

Kim, Jin-Kyung (Departments of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine)
Hong, Seok-Ho (Departments of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine)
Kim, Myung-Hwan (Departments of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Jung-Kyo (Departments of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.46, no.2, 2009 , pp. 165-167 More about this Journal
Abstract
Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain due to chronic pancreatitis. The patient had a history of nonalcoholic chronic pancreatitis and multiple emergency room visits as well as repeated hospitalization including multiple nerve block and morphine injection for 3 years. We implanted surgical lead at T6-8 level on this patient after successful trial of percutaneous electrode. The patient experienced a decreased visual analog scale (VAS) scores for pain intensity and amount of opioid intake. The patient was followed for more than 14 months with good outcome and no further hospitalization. From our clinical case, spinal cord stimulation on intractable pain due to chronic pancreatitis revealed moderate pain control outcome. We suggest that SCS is an effective, noninvasive treatment option for abdominal visceral pain. Further studies and long term follow-up are needed to fully understand the effect of SCS on abdominal visceral pain.
Keywords
Visceral pain; Spinal cord stimulation; Chronic pancreatitis;
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1 Qin C, Lehew RT, Khan KA, Wienecke GM, Foreman RD : Spinalcord stimulation modulates intraspinal colorectal visceroreceptivetransmission in rats. Neurosci Res 58 : 58-66, 2007   DOI   ScienceOn
2 Villavicencio AT, Leveque JC, Rubin L, Bulsara K, Gorecki JP :Laminectomy versus percutaneous electrode placement for spinal cordstimulation. Neurosurgery 46 : 399-405; discussion 405-406, 2000   DOI   ScienceOn
3 Kapural L, Rakic M : Spinal cord stimulation for chronic visceral painsecondary to chronic non-alcoholic pancreatitis. J Clin Gastroenterol42 : 750-751, 2008   DOI   ScienceOn
4 Khan YN, Raza SS, Khan EA : Application of Spinal Cord Stimulationfor the Treatment of Abdominal Visceral Pain Syndromes : CaseReports. Neuromodulation 8 : 14-27, 2005   DOI   ScienceOn
5 Nauta HJ, Soukup VM, Fabian RH, Lin JT, Grady JJ, WilliamsCG, et al. : Punctate midline myelotomy for the relief of visceral cancerpain. J Neurosurg (2 Suppl) 92 : 125-130, 2000
6 Kapural L, Narouze SN, Janicki TI, Mekhail N : Spinal cord stimulationis an effective treatment for the chronic intractable visceral pelvicpain. Pain Med 7 : 440-443, 2006   DOI   ScienceOn
7 Palecek J : The role of dorsal columns pathway in visceral pain.Physiol Res 53 Suppl 1 : S125-S130, 2004
8 Kumar K, Hunter G, Demeria D : Spinal cord stimulation in treatmentof chronic benign pain : challenges in treatment planning and presentstatus, a 22-year experience. Neurosurgery 58 : 481-496; discussion481-496, 2006   DOI   PUBMED
9 Tiede JM, Ghazi SM, Lamer TJ, Obray JB : The use of spinal cordstimulation in refractory abdominal visceral pain: case reports andliterature review. Pain Pract 6 : 197-202, 2006   DOI   ScienceOn
10 Sundaraj SR, Johnstone C, Noore F, Wynn P, Castro M : Spinal cordstimulation : a seven-year audit. J Clin Neurosci 12 : 264-270, 2005   DOI   ScienceOn
11 Krames ES, Foreman R : Spinal Cord Stimulation Modulates VisceralNociception and Hyperalgesia via the Spinothalamic Tracts and thePostsynaptic Dorsal Column Pathways : A Literature Review andHypothesis. Neuromodulation 10 : 224-237, 2007   DOI   ScienceOn
12 Lee AW, Pilitsis JG: Spinal cord stimulation : indications and outcomes.Neurosurg Focus 21 : E3, 2006   PUBMED
13 Melzack R, Wall PD : Pain mechanisms : a new theory. Science 150 :971-979, 1965   DOI   PUBMED
14 Dimcevski G, Sami SA, Funch-Jensen P, Le Pera D, Valeriani M,Arendt-Nielsen L, et al. : Pain in chronic pancreatitis : the role ofreorganization in the central nervous system. Gastroenterology 132 :1546-1556, 2007   DOI   ScienceOn
15 Fregni F, Pascual-Leone A, Freedman SD : Pain in chronic pancreatitis :a salutogenic mechanism or a maladaptive brain response? Pancreatology7 : 411-422, 2007   DOI   ScienceOn
16 North RB, Kidd DH, Olin JC, Sieracki JM : Spinal cord stimulationelectrode design : prospective, randomized, controlled trial comparingpercutaneous and laminectomy electrodes-part I : technical outcomes.Neurosurgery 51 : 381-389; discussion 389-390, 2002   DOI   ScienceOn
17 Stacey B, colantonio A, Vookles JL, Sibell D, Kulawiak L : Managementof pain by anesthetic techniques, in Winn HR (ed) : YoumansNeurological Surgery Fifth edition : Saunders, 2004, Vol 3, p 2983