颈脊髓损伤后神经病理性疼痛:1例报告与综述△

Neuropathic pain secondary to cervical spinal cord injury: A case report with literature review

摘要:

脊髓损伤 （spinal cord injury, SCI） 后神经病理性性疼痛 （neuropathic pain, NP） 是一种难以处理的并发症，会使患者严重衰弱，并可能导致不活动和心理问题，如抑郁和焦虑。神经病理性疼痛的治疗目前还未取得重大的突破，既往研究聚集于药物等保守治疗。脊髓电刺激 （spinal cord stimulation, SCS） 作为一种侵袭性方式，其作用和疗效确切，已逐渐被临床所接受。但研究主要聚集在腰腿痛领域，对脊髓损伤后上肢疼痛的应用还很少。本文报告 SCS 治疗 1 例脊髓损伤后上肢神经病理性疼痛的患者，并对脊髓电刺激治疗神经病理性疼痛的文献进行综述，为临床医生治疗该类疾病提供参考。

Abstract:

Neuropathic pain (NP) after spinal cord injury (SCI) is a refractory complication because it can be severely debilitating and lead to inactivity and psychological problems such as depression and anxiety. There has been no major breakthrough in the treatment of NP and previous studies focused on conservative treatment such as drugs. As an invasive method, spinal cord stimulation (SCS) has been gradually accepted in clinic because of its definite effect and curative effect. However, the research is mainly concentrated in the field of lumbar and leg pain, and the application of upper limb pain after cervical spinal cord injury is few. This paper reports a case who received SCS treatment for upper extremity NP secondary to cervical SCI, and reviews the literature on the treatment of NP by SCS, providing reference for clinicians to handle this condition.