The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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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-

복합부위통증증후군 환자에서 척수자극술과 교감신경 고주파열응고술 -증례 보고-

  • 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)
  • 김시현 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 문동언 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 박종민 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 유건희 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 서경수 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 유시현 (순천향대학교 의과대학 마취통증의학교실)
  • Received : 2005.09.20
  • Accepted : 2005.12.05
  • Published : 2005.12.10
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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

References

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