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Abstract
The purpose of this paper is the demonstration and analysis of the effectiveness of spinal cord stimulation in treatment of chronic drug-resistant neuropathy pain in a patient with radiation-induced plexopathy. She underwent radiation therapy for cancer of the right breast in 2000. Ten years later she complained with pain and weakness her right arm. After physical examination and investigation right-side brachial plexopathy was diagnosed. Antidepressant and anticonvulsant had positive effect during one year but then pain appeared again. That is why the patient has been implanted the system of epidural electrostimulation of thickening of the cervical spinal cord. During the post-operative period significant improvement of pain relief was noted. The doses of analgesics were decreased. Spinal cord stimulation efficacy for treatment of chronic pain was repeatedly proved in clinical investigation and meta-analyses. Nevertheless spinal cord stimulation effects on radiation-induced neurological disorders and possible pathophysiological mechanisms are not enough examined. All these facts require further investigation.References
Пасов В. В., Бардычев М. С. Анализ частоты развития местных лучевых повреждений у больных раком молочной железы // Мед. радиол. и радиацион. безопасность. - 2001. - № 5 - С. 71-76.
Abdel-Aziz S., Ghaleb A. H. Cervical spinal cord stimulation for the management of pain from brachial plexus avulsion // Pain Medicine. - 2014. № 15 - P. 712 714.
Brill S., Aryeh I. G. Neuromodulation in the Management of Pain from Brachial Plexus Injury // Pain Physician. -2008. - № 11 - P. 81-85.
Chang Chien G. C., Candido K. D., Saeed K., Knezevic N. N. Cervical spinal cord stimulation treatment of deafferentation pain from brachial plexus avulsion injury complicated by complex regional pain syndrome // A&A Case Reports. - 2014. - № 3 - P. 29-34.
Clavo B., Robaina F., Montz R. et. al. Modification of glucose metabolism in radiation-induced brain injury areas using cervical spinal cord stimulation // Acta Neurochirurgica. - 2009. - № 151. - P. 1419-1425.
Cruccu G., Aziz T. Z, Garcia-Larrea L. et al. EFNS guidelines on neurostimu // Eur J Neurol. - 2007. -№ 14. - P. 952-970.
Delanian S., Lefaix J. L. Pradat P. F. Radiation-induced neuropathy in cancer survivors // Radiotherapy and Oncology. - 2012. - № 105. P. 273-282.
Gosk J., Rutowski R., Reichert P., Rabczynski J. Radiation-induced brachial plexus neuropathy - aetiopathogenesis, risk factors, differential diagnostics, symptoms and treatment // Folia Neuropathologica. 2007. - № 45. P. 26 - 30.
Hamid B., Haider N. Spinal cord stimulator relieves neuropathic pain in a patient with radiation-induced transverse myelitis // Pain Practice. - 2007. - № 7. P. 345 - 347.
Pradat P. F, Delanian S. Late radiation injury to peripheral nerves // Handbook of Clinical Neurology. - 2013. № 115. P 743-758.
Rubin D. I. Diseases of the plexus // CONTINUUM: Lifelong Learning in Neurology. - 2008. № 3. P. 156 179.
Wolter T. Spinal cord stimulation for neuropathic pain: current perspectives // Journal of Pain Research. - 2014. - № 7. P. 651 - 663.
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