The Use of Spinal Cord Stimulation in Refractory Abdominal Visceral Pain: Case Reports and Literature Review

Tiede, Jeffrey M; Ghazi, Salim M.; Lamer, Tim J.; Obray, Jon B.

doi:10.1111/j.1533-2500.2006.00085.x

Cited by 72 publications

(65 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tiede et al 90 described treatment of refractory abdominal pain in two patients. Both patients had a significant history including multiple abdominal surgeries and failed conservative measures.…”

Section: Abdominal and Visceral Pain Syndromesmentioning

confidence: 99%

Spinal Cord Stimulation: An Update

2008

View full text Add to dashboard Cite

Summary:Spinal cord stimulation has been used in the treatment of many chronic pain disorders since 1967. In this update, the indications for spinal cord stimulation are reviewed with attention to recent publications. A focused review of the literature on abdominal and visceral pain syndromes is also provided. Furthermore, the technology has evolved from the use of monopolar electrodes to complex electrode arrays. Similarly, the power source has changed from a radio frequency-driven system to a rechargeable impulse generator. These topics are covered, along with a short discussion of implant technique. Finally, we include a review of complications of such therapy. SCS as a technology and therapy continues to evolve.

show abstract

Section: Abdominal and Visceral Pain Syndromesmentioning

confidence: 99%

Spinal Cord Stimulation: An Update

2008

View full text Add to dashboard Cite

show abstract

“…17 Recent clinical case observations have reported efficacy of SCS in other visceral diseases, such as persistent esophageal pain 22 and refractory abdominal pain due to various pathological conditions. 23,24,26,49 With respect to spinal mechanisms, Chandler et al 6 reported that SCS suppresses excitatory responses of thoracic STT neurons to electrical stimulation of cardiopulmonary sympathetic afferents and to intracardiac injection of bradykinin in primates. SCS at upper cervical and lumber segments also suppress responses of lumbosacral spinal neurons to noxious colonic distension and attenuate a nociceptive visceromotor reflex produced by colorectal distension in rats with or without colonic hypersensitivity.…”

Section: Introductionmentioning

confidence: 99%

Neuromodulation of Thoracic Intraspinal Visceroreceptive Transmission by Electrical Stimulation of Spinal Dorsal Column and Somatic Afferents in Rats

Qin¹,

Farber²,

Linderoth³

et al. 2008

The Journal of Pain

View full text Add to dashboard Cite

Clinical studies have shown that neuromodulation therapies, such as spinal cord stimulation (SCS) and transcutaneous electrical nerve stimulation (TENS), reduce symptoms of chronic neuropathic and visceral pain. The neural mechanisms underlying SCS and TENS therapy are poorly understood. The present study was designed to compare the effects of SCS and TENS on spinal neuronal responses to noxious stimuli applied to the heart and esophagus. Direct stimulation of an intercostal nerve (ICNS) was used to simulate the effects of TENS. Extracellular potentials of left thoracic (T3) spinal neurons were recorded in pentobarbital anesthetized, paralyzed and ventilated male rats. SCS (50 Hz, 0.2 ms, 3-5 min) at a clinical relevant intensity (90% of motor threshold) was applied on the C1-C2 or C8-T1 ipsilateral spinal segments. Intercostal nerve stimulation (ICNS) at T3 spinal level was performed using the same parameters as SCS. Intrapericardial injection of bradykinin (IB, 10 μg/ml, 0.2 ml, 1 min) was employed as the noxious cardiac stimulus. Noxious thoracic esophageal distension (ED, 0.4 ml, 20 s) was produced by water inflation of a latex balloon. C1-C2 SCS suppressed excitatory responses of 16/22 T3 spinal neurons to IB and 25/30 neurons to ED. C8-T1 SCS suppressed excitatory responses of 10/15 spinal neurons to IB and 17/23 neurons to ED. ICNS suppressed excitatory responses of 9/12 spinal neurons to IB and 17/22 neurons to ED. These data showed that SCS and ICNS modulated excitatory responses of T3 spinal neurons to noxious stimulation of the heart and esophagus.Perspective: Neuromodulation of noxious cardiac and esophageal inputs onto thoracic spinal neurons by spinal cord and intercostal nerves stimulation observed in the present study may help account for therapeutic effects on thoracic visceral pain by activating the spinal dorsal column or somatic afferents.

show abstract

“…Recent studies have demonstrated significant involvement of dorsal column pathways in transmission of visceral pain syndrome [3][4][5] . Application of spinal cord stimulation (SCS) for the neuropathic pain, such as failed back surgery syndrome, angina pectoris, peripheral nerve injury pain, causalgia, reflex sympathetic dystrophy have been shown good outcome [3][4][5]7,8,16) . In addition, spinal cord stimulation suppresses visceral response to colon distension in an animal model 3,12,13,16) .…”

Section: Introductionmentioning

confidence: 99%

“…Application of spinal cord stimulation (SCS) for the neuropathic pain, such as failed back surgery syndrome, angina pectoris, peripheral nerve injury pain, causalgia, reflex sympathetic dystrophy have been shown good outcome [3][4][5]7,8,16) . In addition, spinal cord stimulation suppresses visceral response to colon distension in an animal model 3,12,13,16) . Case series in the literature report an effective outcome of SCS on intractable visceral pain [3][4][5]16) .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, spinal cord stimulation suppresses visceral response to colon distension in an animal model 3,12,13,16) . Case series in the literature report an effective outcome of SCS on intractable visceral pain [3][4][5]16) . In this paper we present that SCS treatment could be the alternative option for intractable visceral pain due to chronic pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis

Kim

Hong

Kim

et al. 2009

J Korean Neurosurg Soc

View full text Add to dashboard Cite

J Korean Neurosurg Soc 46 : [165][166][167] 2009 Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain due to chronic pancreatitis. The patient had a history of nonalcoholic chronic pancreatitis and multiple emergency room visits as well as repeated hospitalization including multiple nerve block and morphine injection for 3 years. We implanted surgical lead at T6-8 level on this patient after successful trial of percutaneous electrode. The patient experienced a decreased visual analog scale (VAS) scores for pain intensity and amount of opioid intake. The patient was followed for more than 14 months with good outcome and no further hospitalization. From our clinical case, spinal cord stimulation on intractable pain due to chronic pancreatitis revealed moderate pain control outcome. We suggest that SCS is an effective, noninvasive treatment option for abdominal visceral pain. Further studies and long term follow-up are needed to fully understand the effect of SCS on abdominal visceral pain.

show abstract

The Use of Spinal Cord Stimulation in Refractory Abdominal Visceral Pain: Case Reports and Literature Review

Cited by 72 publications

References 18 publications

Spinal Cord Stimulation: An Update

Spinal Cord Stimulation: An Update

Neuromodulation of Thoracic Intraspinal Visceroreceptive Transmission by Electrical Stimulation of Spinal Dorsal Column and Somatic Afferents in Rats

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis

Contact Info

Product

Resources

About