Combination of spinal cord stimulation and intrathecal baclofen therapy for neuropathic pain of upper limbs and spasticity of lower limbs induced by spinal cord injury

Abstract

We report herein the case of a 64-year-old man who presented with bilateral upper limbs neuropathic pain and bilateral lower limbs spasticity and clonus induced by spinal cord injury. The patient underwent spinal cord stimula­tion (SCS) for upper limbs neuropathic pain. Two electrodes were placed in C4–7 level. Visual analog scale was improved 79 to 16. Then, the patient underwent intrathecal baclofen (ITB) therapy for lower limbs spasticity. Ashworth scores were all improved. The combination therapy of SCS and ITB is effective for the case of coexist neuropathic pain and spastici­ty.