Abstract
Background The efficacy of epidural spinal cord stimulation on chronic neuropathic pain due to failed back surgery syndrome or nerve root lesions is well reported. There is even literature reporting the effects of spinal cord stimulation in controlling peripheral vascular lesions as in peripheral arteriopathies or diabetic neuropathies and in complex regional pain syndrome type II. This is probably due to an effect of epidural spinal cord stimulation, mainly on the parasympathetic nervous system. Case Description A 14- year-old boy affected, since birth, by a quickly growing widespread lymphangioma at the pelvis and right thigh, underwent repetitive surgical procedures to try to reduce its extension. Recurrence always occurred. Due to a massive swelling of his right lower limb and a wide painful area all over the pelvis and right lower limb, the patient lost his autonomy and was almost bedridden or wheelchaired. On January 2015 the patient underwent the implant of a low dorsal epidural 8-lead magnetic resonance imaging (MRI)-compatible electrode connected to an MRI-compatible stimulator. The patient, 1 month after the implantation, had a complete recover of his autonomy, with a marked shrinkage of his right lower limb and a near disappearance of pain. He resumed the activity of the daily living. One year later, a hip MRI showed partial reduction of the lesion. The patient is still nearly free from pain. Conclusions This is the first case report of severe chronic pain syndrome due to a widespread lymphangioma successfully treated by means of epidural spinal cord stimulation.
| Original language | English |
|---|---|
| Pages (from-to) | 487 |
| Number of pages | 1 |
| Journal | World Neurosurgery |
| Volume | 93 |
| DOIs | |
| Publication status | Published - Sep 1 2016 |
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Keywords
- Chronic pain
- Lymphangioma
- Spinal cord stimulation
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Severe Pain and Edema due to a Widespread Lymphangioma : Disappearance of Symptoms and Reduction of Lesion with Spinal Cord Stimulation. / Dones, Ivano; Zanin, Luca; Marongiu, Ines; Levi, Vincenzo; Chiapparini, Luisa; Rizzi, Michele.
In: World Neurosurgery, Vol. 93, 01.09.2016, p. 487.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Severe Pain and Edema due to a Widespread Lymphangioma
T2 - Disappearance of Symptoms and Reduction of Lesion with Spinal Cord Stimulation
AU - Dones, Ivano
AU - Zanin, Luca
AU - Marongiu, Ines
AU - Levi, Vincenzo
AU - Chiapparini, Luisa
AU - Rizzi, Michele
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Background The efficacy of epidural spinal cord stimulation on chronic neuropathic pain due to failed back surgery syndrome or nerve root lesions is well reported. There is even literature reporting the effects of spinal cord stimulation in controlling peripheral vascular lesions as in peripheral arteriopathies or diabetic neuropathies and in complex regional pain syndrome type II. This is probably due to an effect of epidural spinal cord stimulation, mainly on the parasympathetic nervous system. Case Description A 14- year-old boy affected, since birth, by a quickly growing widespread lymphangioma at the pelvis and right thigh, underwent repetitive surgical procedures to try to reduce its extension. Recurrence always occurred. Due to a massive swelling of his right lower limb and a wide painful area all over the pelvis and right lower limb, the patient lost his autonomy and was almost bedridden or wheelchaired. On January 2015 the patient underwent the implant of a low dorsal epidural 8-lead magnetic resonance imaging (MRI)-compatible electrode connected to an MRI-compatible stimulator. The patient, 1 month after the implantation, had a complete recover of his autonomy, with a marked shrinkage of his right lower limb and a near disappearance of pain. He resumed the activity of the daily living. One year later, a hip MRI showed partial reduction of the lesion. The patient is still nearly free from pain. Conclusions This is the first case report of severe chronic pain syndrome due to a widespread lymphangioma successfully treated by means of epidural spinal cord stimulation.
AB - Background The efficacy of epidural spinal cord stimulation on chronic neuropathic pain due to failed back surgery syndrome or nerve root lesions is well reported. There is even literature reporting the effects of spinal cord stimulation in controlling peripheral vascular lesions as in peripheral arteriopathies or diabetic neuropathies and in complex regional pain syndrome type II. This is probably due to an effect of epidural spinal cord stimulation, mainly on the parasympathetic nervous system. Case Description A 14- year-old boy affected, since birth, by a quickly growing widespread lymphangioma at the pelvis and right thigh, underwent repetitive surgical procedures to try to reduce its extension. Recurrence always occurred. Due to a massive swelling of his right lower limb and a wide painful area all over the pelvis and right lower limb, the patient lost his autonomy and was almost bedridden or wheelchaired. On January 2015 the patient underwent the implant of a low dorsal epidural 8-lead magnetic resonance imaging (MRI)-compatible electrode connected to an MRI-compatible stimulator. The patient, 1 month after the implantation, had a complete recover of his autonomy, with a marked shrinkage of his right lower limb and a near disappearance of pain. He resumed the activity of the daily living. One year later, a hip MRI showed partial reduction of the lesion. The patient is still nearly free from pain. Conclusions This is the first case report of severe chronic pain syndrome due to a widespread lymphangioma successfully treated by means of epidural spinal cord stimulation.
KW - Chronic pain
KW - Lymphangioma
KW - Spinal cord stimulation
UR - http://www.scopus.com/inward/record.url?scp=84987881634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84987881634&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2016.06.129
DO - 10.1016/j.wneu.2016.06.129
M3 - Article
AN - SCOPUS:84987881634
VL - 93
SP - 487
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
ER -