A Case Report of Peripheral Nerve Stimulation for Acute Neuropathic Pain in Guillain-Barre Syndrome

被引：1

作者：

Albright-Trainer, Brooke ^{[1
]}

Provencio, Jose Javier ^{[2
]}

O'Connor, Colleen M. ^{[1
]}

Goldstein, Robert ^{[3
]}

Kohan, Lynn ^{[3
]}

Solorzano, Guillermo ^{[2
]}

Sarkar, J. Awnik ^{[3
]}

Seely, Matthew ^{[1
]}

Theodore, Danny ^{[1
]}

Naik, Bhiken I. ^{[1
,4
]}

机构：

[1] Univ Virginia, Dept Anesthesiol, 1215 Lee St,Box 800710, Charlottesville, VA 22908 USA

[2] Univ Virginia, Dept Neurol, Charlottesville, VA USA

[3] Univ Virginia, Dept Anesthesiol, Div Pain Management, Charlottesville, VA USA

[4] Univ Virginia, Dept Neurol Surg, Charlottesville, VA USA

来源：

A & A PRACTICE | 2020年 / 14卷 / 11期

关键词：

MANAGEMENT; MECHANISMS;

D O I：

10.1213/XAA.0000000000001315

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Guillain-Barre syndrome (GBS) is a peripheral demyelinating neuromuscular disorder occasionally associated with pharmacologically refractory neuropathic pain. We present a case of acute neuropathic pain in a 22-year-old man with GBS managed with percutaneous peripheral nerve stimulation (PNS). Following implantation of leads in the bilateral sciatic, femoral, and brachial plexus nerve distribution, the patient experienced significant pain reduction in both the upper and lower extremities. Analgesic and anxiolytic medications were reduced by 33% on the first day and by 78% on day 21. PNS is a minimally invasive, nonpharmacologic modality for treating acute neuropathic pain in GBS patients.

引用

页数：5

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