Spinal cord stimulation for visceral pain related to chronic pancreatitis: report of 2 cases

World Neurosurg. 2014 Mar-Apr;81(3-4):651.e17-9. doi: 10.1016/j.wneu.2013.09.038. Epub 2013 Sep 23.

Abstract

Objective: To report our experience related to the use of spinal cord stimulation (SCS) for relief of chronic pancreatitis-related neuropathic visceral pain.

Methods: Two patients, 50 years old and 39 years old, presented with intractable visceral pain related to chronic pancreatitis. A quadripolar electrode for SCS was inserted at the T8-10 level using a percutaneous technique. After a successful trial, a permanent stimulator was inserted.

Results: At a mean follow-up of 7 years, both patients showed a marked improvement, with 80% and 90% decrease of pain, respectively, as assessed by Visual Analogue Scale. Pain medications were discontinued in both cases.

Conclusions: SCS appears to be an effective long-term treatment for neuropathic visceral pain related to chronic pancreatitis.

Keywords: Chronic pancreatitis; Dorsal column stimulation; Neuropathic pain; Spinal cord stimulation.

MeSH terms

  • Adult
  • Electrodes, Implanted
  • Humans
  • Male
  • Middle Aged
  • Neuralgia / etiology
  • Neuralgia / therapy
  • Pain, Intractable / etiology
  • Pain, Intractable / therapy
  • Pancreatitis, Chronic / complications*
  • Radiography
  • Spinal Cord Stimulation / methods*
  • Thoracic Vertebrae / diagnostic imaging
  • Treatment Outcome
  • Visceral Pain / etiology*
  • Visceral Pain / therapy*