Electroconvulsive therapy for neuropathic pain: a case report and literature review.
Electroconvulsive therapy for neuropathic pain: a case report and literature review.
复制标题
神经性疼痛的电休克治疗：病例报告和文献综述。
作者：
S. Abdi;Arita Haruo;J. Bloomstone
目的
描述一例顽固性臂丛神经病变引起的神经病理性疼痛综合征，在常规药物和介入性疼痛管理试验失败后采用电休克治疗。
病例报告
一位32岁男性，因臂丛神经病变，右上肢及肩部慢性顽固性神经痛约10年。他尝试了多种止痛药，并接受了各种介入性疼痛手术，但疼痛没有明显缓解。当患者随后出现重度抑郁症并伴有自杀意念时，他接受了电休克治疗，这显著改善了两个月的抑郁症和疼痛。
讨论
越来越多的非精神疾病可以用电休克疗法治疗。慢性顽固性疼痛伴或不伴抑郁症已经在名单上和名单上多年。进一步的研究最终可能会证明ECT对顽固性神经性疼痛综合征的疗效。
OBJECTIVE
To describe a case of intractable brachial plexopathy-induced neuropathic pain syndrome treated with electroconvulsive therapy after a failed trial of conventional drugs and interventional pain management.
CASE REPORT
A 32-year-old male had chronic intractable neuropathic pain of the right upper extremity and shoulder for about 10 years, due to brachial plexopathy. He tried multiple pain medications and underwent various interventional pain procedures without significant pain relief. When the patient subsequently developed severe depression with suicidal ideation, he underwent electroconvulsive therapy, which significantly improved the depression and pain for two months.
DISCUSSION
There is a growing list of non-psychiatric conditions that may be treated with electroconvulsive therapy. Chronic intractable pain with or without depression has been on and off the list for years. Further studies may eventually demonstrate efficacy of ECT for intractable neuropathic pain syndromes.