Dorsal root ganglion stimulation combined with spinal cord stimulation for effective treatment of postherpetic neuralgia - A case report -

Hong Seung Wan; Kim Min Jung; Park Cheol Hwan; Park Sarah; Kim Jae Hun

doi:10.17085/apm.21032

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저자정보: Hong Seung Wan (Department of Anesthesiology and Pain Medicine Konkuk University School of Medicine) Kim Min Jung (Department of Anesthesiology and Pain Medicine Konkuk University School of Medicine) Park Cheol Hwan (Department of Anesthesiology and Pain Medicine Konkuk University School of Medicine) Park Sarah (Department of Anesthesiology and Pain Medicine Konkuk University School of Medicine) Kim Jae Hun (Department of Anesthesiology and Pain Medicine Konkuk University School of Medicine)

저널정보: 대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.16 No.4

발행연도: 2021.10

수록면: 387 - 390 (4page)

DOI: 10.17085/apm.21032

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Background: Although spinal cord stimulation (SCS) can be a treatment option for intractable postherpetic neuralgia (PHN), obtaining proper stimulation at the thoracic dermatome is difficult. Dorsal root ganglion (DRG) stimulation may be an effective treatment for patients with insufficient efficacy in SCS only.Case: A 54-year-old man with intractable PHN was referred to our clinic. Pain was localized to the distribution of the T1?3 dermatomes. SCS trial was conducted, and lead was placed within the epidural space over the C6?T1 level; however, the stimulation was inadequate for his pain site. Therefore, another lead was placed within the left T1 and T2 DRG for trial, and T1 DRG stimulation provided adequate stimulation. T1 DRG stimulation and SCS could cover the entire pain site with paresthesia, and his pain was decreased by over 50%.Conclusions: DRG stimulation combined with SCS may be a good treatment option for intractable thoracic PHN.

#Dorsal root ganglion #Implanted nerve stimulation electrodes #Postherpetic neuralgia #Spinal cord stimulation.

참고문헌 (13)

참고문헌 신청

Gauthier A / 2009 / Epidemiology and cost of herpes zoster and post-herpetic neuralgia in the United Kingdom / Epidemiol Infect 137:38~47

Junli Zhou / 2020 / Zoster sine herpete: a review / The Korean Journal of Pain 33(3):208~215

Meera Shrestha / 2018 / Modalities in managing postherpetic neuralgia / The Korean Journal of Pain 31(4):235~243

Johnson RW / 2014 / Clinical practice. Postherpetic neuralgia / N Engl J Med 371:1526~1533

De Vloo P / 2020 / Complete resolution of postherpetic neuralgia following pallidotomy : case report / J Neurosurg 133:1229~1234

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