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Stimulation médullaire : indications, sélection des patients et facteurs de bons pronostics

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Chirurgie de la douleur

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Résumé

La stimulation médullaire est une option thérapeutique reconnue chez les patients présentant des douleurs rebelles au traitement habituel connu. La douleur demeure intense (VAS > 5/10) et chronique (> 6 mois) [1–3]. Les indications les plus reconnues sont la lombosciatalgie réfractaire postchirurgicale (FBSS), la douleur neuropathique secondaire à une lésion nerveuse périphérique et l’angine de poitrine réfractaire. Le syndrome douloureux régional complexe type I (SDRC I) et II est une indication également acceptée. La douleur associée à la maladie vasculaire périphérique est également identifiée comme une indication donnant de bons résultats post-neuromodulation médullaire. D’autres indications ont également été retenues, mais sont d’un succès variable [13–15] (Tableau I).

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Authors and Affiliations

  1. Director of Peripheral Nerve and Pain Surgery, UCSF (University of California, San Francisco), USA

    Line Jacques (Professor of Neurosurgery)

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  1. Line Jacques
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Correspondence to Line Jacques .

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© 2014 Springer-Verlag Paris

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Jacques, L. (2014). Stimulation médullaire : indications, sélection des patients et facteurs de bons pronostics. In: Chirurgie de la douleur. Springer, Paris. https://doi.org/10.1007/978-2-8178-0509-2_7

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  • DOI: https://doi.org/10.1007/978-2-8178-0509-2_7

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0508-5

  • Online ISBN: 978-2-8178-0509-2

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