Sacral Nerve Stimulation for Treatment of Intractable Pain Associated with Cauda Equina Syndrome

Title
Sacral Nerve Stimulation for Treatment of Intractable Pain Associated with Cauda Equina Syndrome
Author(s)
김성호김종훈홍주철김민수
Keywords
LUMBAR DISC HERNIATION; FECAL INCONTINENCE; SYNDROME SECONDARY; FOLLOW-UP; NEUROMODULATION; DYSFUNCTION; OPTION
Issue Date
201006
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.47, no.6, pp.473 - 476
Abstract
Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, and also has a role in the treatment of chronic pelvic pain. We report two cases of intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from intractable pelvic pain with urinary incontinence and fecal incontinence after surgery for a herniated lumbar disc. The second patient underwent surgery for treatment of a burst fracture and developed intractable pelvic area pain, right leg pain, excessive urinary frequency, urinary incontinence, voiding difficulty and constipation one year after surgery. A SNS trial was performed on both patients. Both patients' pain was significantly improved and urinary symptoms were much relieved. Neuromodulation of the sacral nerves is an effective treatment for idiopathic urinary frequency, urgency, and urge incontinence. Sacral neuromodulation has also been used to control various forms of pelvic pain. Although the mechanism of action of neuromodulation remains unexplained, numerous clinical success reports suggest that it is a therapy with efficacy and durability. From the results of our research, we believe that SNS can be a safe and effective option for the treatment of intractable pelvic pain with incomplete CES.
URI
http://hdl.handle.net/YU.REPOSITORY/22351http://dx.doi.org/10.3340/jkns.2010.47.6.473
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
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