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Case Reports
. 2008 Dec;6(3-4):103-6.
doi: 10.3121/cmr.2008.813.

Spinal cord stimulation as a treatment option for intractable neuropathic cancer pain

Alexander E Yakovlev  1 , Yakub Ellias
Affiliations
Case Reports

Spinal cord stimulation as a treatment option for intractable neuropathic cancer pain

Alexander E Yakovlev et al. Clin Med Res. 2008 Dec.

Abstract

Nearly 6,750,000 people suffer moderate to severe cancer-related pain each year. Unfortunately, 10% to 15% of these patients fail to achieve acceptable pain relief with conventional management. Spinal cord stimulation (SCS) has been used with increased frequency for successful treatment of intractable cancer pain. We present two cases of intractable, refractory-to-conventional treatment cancer pain that were successfully treated with SCS. Case 1 reports a 51-year-old male with burning pain at the left groin site of inguinal metastases, post-surgical and intraoperative radiation therapy for treatment of squamous cell carcinoma of the anus. Case 2 reports a 43-year-old woman with intractable, burning, throbbing, and shooting pain, post-debulking followed by radiation of a metastatic colon carcinoma. In both cases SCS implantation provided 90% to 100% pain relief, improved functioning and sleep, and discontinuation of pain medications, sustained through 12 months.

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Figures

Figure 1.
Figure 1.
Thoracic epidural placement of two quadripolar leads showing the electrodes in a staggered position with tips at T-8.
Figure 2.
Figure 2.
Thoracic epidural placement of two quadripolar leads showing the electrodes in a staggered position with tips at T-9.
See this image and copyright information in PMC

References

    1. Gralow I. Cancer pain: an update of pharmacological approaches in pain therapy. Current Opinion in Anaesthesiology 2002;15(5):555–561. - PubMed
    1. Schug SA, Zech D, Dorr U. Cancer pain management according to WHO analgesic guidelines. J Pain Symptom Manage 1990;5:27–32. - PubMed
    1. Sloan PA, Melzack R. Long-term patterns of morphine dosage and pain intensity among cancer patients. Hosp J 1999;14:35–47. - PubMed
    1. Shealy CN. Dorsal column stimulation. Surg Neurol 1977;7:192. - PubMed
    1. Melzack RA, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971–979. - PubMed

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