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Journal of Korean Neurosurgical Society = 대한신경외과학회지 v.47 no.6, 2010년, pp.473 - 476   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

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

Kim, Jong-Hoon    (Department of Neurosurgery, College of Medicine, Yeungnam University   ); Hong, Joo-Chul    (Department of Neurosurgery, College of Medicine, Yeungnam University   ); Kim, Min-Su    (Department of Neurosurgery, College of Medicine, Yeungnam University   ); Kim, Seong-Ho    (Department of Neurosurgery, College of Medicine, Yeungnam University  );
  • 초록

    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.


  • 주제어

    Sacral Plexus .   Neuromodulator .   Pain .   Cauda Equina.  

  • 참고문헌 (19)

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  • Hong, Joo-Chul (4)

  • Kim, Min-Su (38)

  • Kim, Seong-Ho (63)

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