Clinique St. Jean, Montpellier.
[Chronic medullary neuro-stimulation in lumbosacral spinal arachnoiditis]. [Review] [34 refs] [French]
Revue de Chirurgie Orthopedique et Reparatrice de l Appareil Moteur. 74(5):473-9, 1988.
Abstract:
Between 1983 and 1986, 20 patients were treated by chronic spinal cord stimulation for the relief of pain. These patients suffered from lumbar arachnoiditis or root fibrosis causing lumbar pain and sciatica following operations for disc herniation or repeated radiculography. In this short series, the results obtained were satisfactory, with 12 good results which were stable over a 2-year period, thanks to careful selection of the subjects within the framework of a multidisciplinary pain clinic. The treatment of the fibrosis and the mechanism of neurostimulation are reviewed.
[References: 34]
Pain management after lower extremity amputation.Review] [58 refs]
Neurosurgery. 20(3):496-500, 1987 Mar.
Abstract:
Phantom pain may occur in up to 85% of patients after limb amputation. Although the pathophysiology of postamputation phantom pain is not well understood, it seems to be produced by a complex multifactorial interaction between the peripheral, sympathetic, and central nervous systems. The theoretical aspects of this are reviewed. Management of phantom limb pain may be both medical and surgical. Among the pharmacological agents proved effective against phantom pain are beta-blockers, tricyclic antidepressants, and anticonvulsants. Surgical management includes peripheral nerve stimulation, thermocontrolled coagulation of the spinal cord, spinal cord stimulation, transcutaneous nerve stimulation, and stereotactic deep brain stimulation.
[References: 58]
