What should I do if paralysis of paralysis and refractory pain for two years after aortia mask?

A patient contacted me two years ago. He was only in his 40s and suffered from aortic clamps. He had a stent surgery in a certain three hospitals, but he was paralyzed after surgery. What should I do? At that time, I asked him to come to Xi'an for treatment as soon as possible, but because of the long distance, he was delayed in the future. For more than a year, the patient had stubborn pain on the chest and back. He had a lot of medical treatment and took a lot of medicines, but it was still painful and the pain was unbearable. I said again to me. I said that I can consider doing spinal electrocable surgery to relieve pain. After admission, he made a series of inspections for evaluation.

Spinal cord magnetic resonance prompts 5-6 spinal cord ischemia.

Electric diagrams suggest severe damage to the lower limbs.

After the pain score, his score was 6 points, and he needed long -term oral analgesic drugs, and the side effects of painkillers were large. He didn't want to take these medicines anymore, so he decided to do spinal electro -stimulus surgery.

After the first test, the pain disappeared completely, and the patient felt satisfied. Then the second -stage surgery was implanted with permanent electromagnetic stimulators.

After debugging parameters after surgery, the patient's pain completely disappeared after disappearing.

Director Zhao Dongsheng here is popular: spinal cord electrical stimulation therapy is a method for treating chronic and refractory pain.

The spinal cord electrical stimulus system consists of three parts: the electrode of an extrateriomotic gap in the patient's spinal hard membrane, the stimulator that is implanted with the electrical pulse to the abdomen or under the skin of the abdomen, and the extension of the two connecting the two.

The principle of spinal cord electrical stimulus treatment is mainly: electrical stimulation transmitted by the electrodes of the outer gap of the spinal hard membrane, blocking the pain signal to the brain through the spinal cord, so that the pain signal cannot reach the cerebral cortex, thereby achieving the purpose of controlling pain.

Extra peripheral stimulating system implantation is a minimally invasive surgery. Under the guidance of imaging equipment, doctors open a small bone window on the spine under the guidance of imaging equipment, put the electrode on the specific section of the outer gap of the spinal hard membrane, and then observe the stimulating stimulus cover and the degree of pain improvement through the temporary stimulator in vitro And adjust the position of the electrode according to the test to achieve the best stimulus. Patients remain awake in the process to cooperate with testing. After the test is successful, the patient will return to the ward with a temporary stimulator to receive a test period of about two to seven days to observe the improvement of pain and daily life (such as sleep, walking, etc.). If the pain relieves good and the patient is satisfied with the treatment effect, the entire stimulus system (extended wires and stimulators.) Doctors and professional technicians will use the internal system control instrument Patients can also be adjusted within the scope of the doctor's setting of the patient program controller, which is very convenient and flexible. Patients with peripheral peripheral stimulation of the spinal cord can reduce the use of oral analgesic drugs or even completely discontinued drugs, avoiding the damage to the body for a long time, and almost no side effects. Therefore, it is also called "green therapy" in the medical community. The shortcomings of peripheral peripheral stimulation treatment are that the price is relatively expensive, and the battery needs to be replaced after a certain period of time.

Spinal cord stimulation is mainly used to treat chronic and refractory neurological pain. The main indications are:

① Sensory nerve dysfunction and stubborn pain caused by peripheral vascular lesions;

② A larger shoulder and back pain, back pain, and peripheral neurological pain;

③ Pain after pain, phantom limb pain, and spinal cord injury;

④ After the arms and nerve tear injury and the waist bush, the pain after tearing the wound;

⑤ Complex local pain syndrome; diabetic foot ischemia and pain;

⑥ After -shaped postpartum god menstrual pain and so on.

Director Zhao Dongsheng is the former neurosurgeon of Xijing Hospital, and is currently the deputy director of the functional neurosurgery of Xi'an Red Club Hospital

Outpatient time: Room 310, 310 of the 3st Floor Clinic on Thursday Clinic on Thursday Clinic

Research areas: coma patients are awake, cerebral stem bleeding, spinal cord injury paralysis, hydrocephalus, brain tumor, spinal cord tumor, spinal cord tie, spinal bullets, spinal cord empty, epilepsy, cerebral palsy, lower cerebral tonsils, lower anechetal deformities under the tonsils, lower cerebral tonsils, lower cerebral hernia deformities , Pool dysfunction, refractory nerve pain, trigeminal neuralgia, facial muscle spasm, and various neurotherapy treatment

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