下肢を優位とする上下肢難治性疼痛4極電極を4本用いた脊髄刺激術の1例

抄録

We report herein the case of a 38-year-old man who presented with right upper and lower extremities intractable pain caused by traumatic brain contusion. The main pain region was lower extremity and the pain produced his gait disorder. The patient underwent spinal cord stimulation (SCS). Four electrodes were placed in spinal epidural space, two electrodes were placed in Th10 – 11 level, and the others were C4 – 6 level. SCS achieved >70% pain relief and improved his gait disorder. SCS proved effective for central neuropathic pain caused by brain contusion. The method of SCS using four electrodes is effective for pain of upper and lower extremities, especially the main pain region is lower extremity.