TY - CHAP
T1 - Spinal Cord High-Frequency Stimulation. The Current Experience and Future Directions
AU - Izzo, Alessandro
AU - D’Ercole, Manuela
AU - Rapisarda, Alessandro
AU - Polli, Filippo Maria
AU - Fuggetta, Filomena
AU - Olivi, Alessandro
AU - Visocchi, Massimiliano
AU - Montano, Nicola
N1 - Publisher Copyright:
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.
PY - 2023
Y1 - 2023
N2 - Spinal cord stimulation (SCS) is a neuromodulation technology that has emerged as a valid treatment for chronic intractable neuropathic pain. After conventional tonic SCS, new waveforms of stimulation, like high frequency (HF), have proved that they can provide safe and effective pain relief. In addition, SCS is now being utilized more broadly as a potential treatment for a range of indications, including motor disorders and spasticity. Our study presents a retrospective analysis of 20 patients with heterogenous aetiologies of neuropathic pain treated with HF stimulation, after a standardized protocol in a temporary trial. We observed a significant improvement in pain relief according to comparisons of numerical rating scale (NRS) scores before the procedure, after the clinical trial and at latest follow-up. Two unusual clinical cases were also reported, and the pertinent literature was discussed.
AB - Spinal cord stimulation (SCS) is a neuromodulation technology that has emerged as a valid treatment for chronic intractable neuropathic pain. After conventional tonic SCS, new waveforms of stimulation, like high frequency (HF), have proved that they can provide safe and effective pain relief. In addition, SCS is now being utilized more broadly as a potential treatment for a range of indications, including motor disorders and spasticity. Our study presents a retrospective analysis of 20 patients with heterogenous aetiologies of neuropathic pain treated with HF stimulation, after a standardized protocol in a temporary trial. We observed a significant improvement in pain relief according to comparisons of numerical rating scale (NRS) scores before the procedure, after the clinical trial and at latest follow-up. Two unusual clinical cases were also reported, and the pertinent literature was discussed.
KW - Failed back surgery syndrome
KW - High frequency
KW - Multiple sclerosis
KW - Myelopathy
KW - Neuropathic pain
KW - Spasticity
KW - Spinal cord stimulation
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U2 - 10.1007/978-3-031-36084-8_31
DO - 10.1007/978-3-031-36084-8_31
M3 - Chapter
C2 - 38153470
AN - SCOPUS:85180909499
T3 - Acta Neurochirurgica, Supplementum
SP - 203
EP - 207
BT - Acta Neurochirurgica, Supplementum
PB - Springer Science and Business Media Deutschland GmbH
ER -