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Colombian Journal of Anestesiology
Print version ISSN 0120-3347
Abstract
CARVAJAL, Gabriel; ROCHA, Andrés and DUPOIRON, Denis. Multimodal intrathecal therapy for phantom limb pain: a report of 2 cases. Rev. colomb. anestesiol. [online]. 2019, vol.47, n.3, pp.198-201. Epub Aug 06, 2019. ISSN 0120-3347. https://doi.org/10.1097/cj9.0000000000000106.
Introduction:
Phantom limb pain (PLP) is a chronic debilitating condition, frequently observed in amputees. At present, there is no standard treatment, and its optimal management requires a multidisciplinary approach in which minimally invasive treatment should be considered in more complex cases.
Objective:
To report successful treatment of 2 cases of PLP treated with ziconotide as part of multimodal intrathecal management.
Materials and methods:
Descriptive, retrospective case report developed in a multimodal pain treatment unit.
Results:
A total of 2 cases of patients with diagnosis of PLP refractory to medical therapy, treated with intrathecal multimodal therapy, are presented. Their favorable course, with 50% pain reduction, is described.
Conclusion:
Implantation of infusion systems for administration of intrathecal analgesia with ziconotide at the cervical and supraspinal level proved to be effective in the described cases; this technique should be evaluated in specific trials for the treatment of PLP refractory to other therapies.
Keywords : Pain Management; Phantom Limb; Infusion Pumps; Infusions; Spinal; Case Reports.