Interdisciplinary Neurosurgery (Dec 2021)

Effectiveness of spinal cord stimulation for improvement of microcirculation and fixed dystonia in complex regional pain syndrome: A case report

  • Noriyuki Yahagi,
  • Masahito Kobayashi,
  • Kenji Wakiya,
  • Sachiko Hirata,
  • Takamitsu Fujimaki

Journal volume & issue
Vol. 26
p. 101297

Abstract

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Complex Regional Pain Syndrome (CRPS) is a form of chronic pain affecting one arm or leg. Spinal cord stimulation (SCS) is one of the few effective treatments for CRPS. However, it is difficult to objectively determine the appropriate conditions of CRPS and predict the efficacy of SCS.In this case report, we report a 21-year-old woman with CRPS type I, who had a history of meniscus injury in the left knee at age 15. Her motor and sensory symptoms in the left lower extremity improved dramatically with SCS. Thermography imaging showed a significant change in the skin temperature of the left lower limb before and after surgery, which can be useful in objectively assessing the therapeutic effect.

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