This case study presents a 63-year-old woman with treatment-resistant neuropathic pelvic pain following thoracic aortic aneurysm repair. A combined bidirectional spinal cord stimulation approach was attempted.
Background
Chronic pelvic pain affects a significant portion of the population and is often resistant to conventional treatments, leading to substantial impairment in quality of life. Spinal cord stimulation (SCS) has emerged as an intervention for refractory cases.
Data Highlights
No numerical data or trial data presented in the article.
Key Findings
A 63-year-old woman experienced severe neuropathic pelvic pain post-thoracic aortic aneurysm repair.
Multiple treatment modalities prior to SCS, including pharmacologic and interventional therapies, provided minimal relief.
Combined bidirectional SCS involved anterograde thoracic and retrograde sacral lead placements.
Technical difficulties were encountered during sacral lead placement, necessitating adjustments in technique.
The patient developed hip pain with tonic sacral stimulation, leading to the discontinuation of this modality.
High-frequency stimulation at the thoracic spine was continued as the primary treatment.
Clinical Implications
This case illustrates the complexities involved in implementing combined bidirectional spinal cord stimulation for refractory pelvic pain.
Conclusion
This case highlights the use of combined bidirectional spinal cord stimulation for refractory neuropathic pelvic pain.
