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Spinal cord stimulator for neuropathic pain in a patient with severe disability due to transverse myelitis
  1. Hector Xavier Martinez Villegas1,
  2. Alejandro Hallo2,
  3. Soraya Cruz-Loor3 and
  4. Karen Jacome-Calderon4
  1. 1Anesthesiology, Eugenio Espejo Hospital of Specialties, Quito, Pichincha, Ecuador
  2. 2Teaching and Research, Eugenio Espejo Hospital of Specialties, Pichincha, Quito, Ecuador
  3. 3CETDOL (Centro Especializado para Tratamiento del Dolor), Guayaquil, Ecuador
  4. 4Medical Department, Fundacion Cambiando Vidas, Quito, Pichincha, Ecuador
  1. Correspondence to Dr Alejandro Hallo; alejo_h1712{at}hotmail.com

Abstract

Transverse myelitis is an inflammatory disease of the central nervous system that disrupts nerve signals’ conduction. The illness is characterised by weakness in the lower limbs accompanied by paresthesia and urinary and bowel incontinence. The most disabling sequel is the onset of chronic neuropathic pain, which can severely limit the patient’s independence and negatively affect her quality of life. We present the case of a patient who received a spinal neurostimulator after a failure of conventional medical treatment. Masking pain through paresthesia, a mechanism provided by the device significantly reduces pain perception. The treatment success in our patient represents an advance in pain therapy.

  • Pain
  • Anaesthesia

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Footnotes

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  • Contributors AH and HXMV conceived and designed the work. AH and KEJ-C drafted manuscript. AH data collection. HXMV and SC-L corrections and final article review. All authors read and approved the final manuscript version to be published. AH Agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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