Spinal Cord Electrical Stimulation for Refractory Angina Treatment
Cardiovascular disease (CVD) is the main cause of death worldwide, including in Brazil. Angina pectoris is a challenging disease because its clinical manifestation is not always related to the degree of obstruction. Visceral pain from any source can be totally disabling. It influences all aspects of...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-01-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594256 |
| _version_ | 1818455602307792896 |
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| author | Gustavo Veloso Lages Jose Oswaldo Oliveira Júnior |
| author_facet | Gustavo Veloso Lages Jose Oswaldo Oliveira Júnior |
| author_sort | Gustavo Veloso Lages |
| collection | DOAJ |
| description | Cardiovascular disease (CVD) is the main cause of death worldwide, including in Brazil. Angina pectoris is a challenging disease because its clinical manifestation is not always related to the degree of obstruction. Visceral pain from any source can be totally disabling. It influences all aspects of the life of a patient and it can be one of the main causes of absence from work and of family disruption. Spinal cord electrical stimulation (SCES) has been traditionally applied for the treatment of neuropathic pain, with good to excellent results. Visceral pain syndrome can be as debilitating and disabling as somatic or neuropathic pain; however, there seems to be a lack of consensus on the appropriate treatment and strategies for these disorders. The major difference of SCES for visceral pain, compared to postlaminectomy syndrome or to regional complex syndrome, is the number of stimulated dermatomes. In most viscera, the somatotopic arrangement has two to four medullar levels, sometimes requiring laterality. After reviewing the literature, we have concluded that SCES is now a viable, low-risk option with satisfactory results for the treatment of neuropathic and visceral pain; therefore, it can be used in refractory angina after the failure of standard therapy. However, further studies are required to increase the application and efficacy of this procedure in the clinical practice. |
| first_indexed | 2024-12-14T22:13:23Z |
| format | Article |
| id | doaj.art-f297ec564c7c4836b806031b94037b0a |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-14T22:13:23Z |
| publishDate | 2017-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-f297ec564c7c4836b806031b94037b0a2022-12-21T22:45:41ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222017-01-01380427227810.1055/s-0036-1594256Spinal Cord Electrical Stimulation for Refractory Angina TreatmentGustavo Veloso Lages0Jose Oswaldo Oliveira Júnior1Pain Ambulatory, Hospital da Santa Casa de Montes Claros e Hospital Dilson Godinho, Montes Claros, MG, BrazilDepartment of Atalgic Therapy, Functional Surgery, and Palliative Care, Escola de Cancerologia Celestino Bourroul da Fundação Antônio Prudente, São Paulo, SP, BrazilCardiovascular disease (CVD) is the main cause of death worldwide, including in Brazil. Angina pectoris is a challenging disease because its clinical manifestation is not always related to the degree of obstruction. Visceral pain from any source can be totally disabling. It influences all aspects of the life of a patient and it can be one of the main causes of absence from work and of family disruption. Spinal cord electrical stimulation (SCES) has been traditionally applied for the treatment of neuropathic pain, with good to excellent results. Visceral pain syndrome can be as debilitating and disabling as somatic or neuropathic pain; however, there seems to be a lack of consensus on the appropriate treatment and strategies for these disorders. The major difference of SCES for visceral pain, compared to postlaminectomy syndrome or to regional complex syndrome, is the number of stimulated dermatomes. In most viscera, the somatotopic arrangement has two to four medullar levels, sometimes requiring laterality. After reviewing the literature, we have concluded that SCES is now a viable, low-risk option with satisfactory results for the treatment of neuropathic and visceral pain; therefore, it can be used in refractory angina after the failure of standard therapy. However, further studies are required to increase the application and efficacy of this procedure in the clinical practice.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594256functional neurosurgeryvisceral painchest anginaangina pectorisunstable anginaspinal cord electrical stimulation |
| spellingShingle | Gustavo Veloso Lages Jose Oswaldo Oliveira Júnior Spinal Cord Electrical Stimulation for Refractory Angina Treatment Brazilian Neurosurgery functional neurosurgery visceral pain chest angina angina pectoris unstable angina spinal cord electrical stimulation |
| title | Spinal Cord Electrical Stimulation for Refractory Angina Treatment |
| title_full | Spinal Cord Electrical Stimulation for Refractory Angina Treatment |
| title_fullStr | Spinal Cord Electrical Stimulation for Refractory Angina Treatment |
| title_full_unstemmed | Spinal Cord Electrical Stimulation for Refractory Angina Treatment |
| title_short | Spinal Cord Electrical Stimulation for Refractory Angina Treatment |
| title_sort | spinal cord electrical stimulation for refractory angina treatment |
| topic | functional neurosurgery visceral pain chest angina angina pectoris unstable angina spinal cord electrical stimulation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594256 |
| work_keys_str_mv | AT gustavovelosolages spinalcordelectricalstimulationforrefractoryanginatreatment AT joseoswaldooliveirajunior spinalcordelectricalstimulationforrefractoryanginatreatment |