当前位置： SCI文献检索 > SPINAL CORD期刊下所有文献 > A comprehensive, multispecialty approach to an acute exacerbation of chronic central pain in a tetraplegic.

A comprehensive, multispecialty approach to an acute exacerbation of chronic central pain in a tetraplegic.

Abstract：

STUDY DESIGN:We present a case report describing the multidisciplinary treatment of a tetraplegic spinal cord injury (SCI) patient who developed an acute exacerbation of chronic central pain. OBJECTIVE:To bring further awareness to the importance of using a comprehensive, multidisciplinary approach in treating acute exacerbation of chronic central pain in SCI patients. SETTING:University of California Irvine Medical Center, Orange, CA, USA. CASE REPORT:We present a 34-year-old man with a past medical history of C5 American Spinal Injury Association B tetraplegia secondary to a surfing accident 8 years prior, central pain syndrome, spasticity, autonomic dysreflexia and anxiety who arrived at the emergency room with a 1-month history of worsening acute on chronic pain refractory to opioid escalation. The multispecialty treatment plan included treatment of the patient's urinary tract infection by the primary medicine service, management of the patient's depression by the psychiatric service, treatment of bowel obstruction by general surgery and adjustment of pain medications by pain management. The patient was found to have stable neurological findings, neuroimaging unchanged from prior imaging and a urinary tract infection. Hospitalization was complicated by severe colonic dilation that required disimpaction by general surgery. CONCLUSION:The treatment of this patient's acutely worsened central pain highlights the importance of applying a multidisciplinary approach to SCI patients with an acute exacerbation of chronic central pain. In this case, the multispecialty treatment plan included treatment of the patient's urinary tract infection by the primary medicine service, management of the patient's depression by the psychiatric service, treatment of bowel obstruction by general surgery, and adjustment of pain medications by pain management.

journal_name

Spinal Cord

journal_title

Spinal cord

authors

Chang EY,Zhao X,Perret DM,Luo ZD,Liao SS

doi

10.1038/sc.2014.12

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

S17-8

eissn

1362-4393

issn

1476-5624

pii

sc201412

journal_volume

52 Suppl 1

pub_type

杂志文章

相关文献

SPINAL CORD文献大全
  • The sensitivity of ultrasound screening examination in detecting heterotopic ossification following spinal cord injury.

    abstract：STUDY DESIGN:Retrospective chart review. OBJECTIVE:To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI). SETTING:Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2016.93

    authors： Rosteius T,Suero EM,Grasmücke D,Aach M,Gisevius A,Ohlmeier M,Meindl R,Schildhauer TA,Citak M

    更新日期：2017-01-01 00:00:00

  • Sexual problems of women with spinal cord injury in Turkey.

    abstract：OBJECTIVES:Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. METHODS:Twenty-six women with SCI for...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2013.161

    authors： Celik EC,Akman Y,Kose P,Arioglu P,Karatas M,Erhan B

    更新日期：2014-04-01 00:00:00

  • Autologous incubated macrophage therapy in acute, complete spinal cord injury: results of the phase 2 randomized controlled multicenter trial.

    abstract：STUDY DESIGN:Randomized controlled trial with single-blinded primary outcome assessment. OBJECTIVES:To determine the efficacy and safety of autologous incubated macrophage treatment for improving neurological outcome in patients with acute, complete spinal cord injury (SCI). SETTING:Six SCI treatment centers in the U...

    journal_title：Spinal cord

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1038/sc.2012.39

    authors： Lammertse DP,Jones LA,Charlifue SB,Kirshblum SC,Apple DF,Ragnarsson KT,Falci SP,Heary RF,Choudhri TF,Jenkins AL,Betz RR,Poonian D,Cuthbert JP,Jha A,Snyder DA,Knoller N

    更新日期：2012-09-01 00:00:00

  • The prevalence of scoliosis within Belgian myelomeningocele population and the correlation with ambulatory status and neurological comorbidities: a chart audit.

    abstract：STUDY DESIGN:Retrospective chart audit. OBJECTIVES:Firstly determining the prevalence of scoliosis in myelomeningocele (MMC) patients of the University Hospitals Leuven. Secondly analyzing whether there are differences concerning distribution of radiological level, ambulatory status, hydrocephalus, tethered cord, and ...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-020-00611-3

    authors： Heyns A,Negrini S,Jansen K,Moens P,Schelfaut S,Peers K,Kiekens C

    更新日期：2021-01-25 00:00:00

  • The efficacy of biochemical markers in patients with ossification of posterior longitudinal ligament of the spine.

    abstract：STUDY DESIGN:Serum levels of carboxyterminal propeptide of type I collagen (PICP), osteocalcin (OC), carboxyterminal telopeptide of type I collagen (ICTP) and urinary levels of pyridinoline (Pyr) and deoxypyridinoline (Dpyr) were measured in patients with ossification of posterior longitudinal ligament of the spine (OP...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章

    doi：10.1038/sj.sc.3100989

    authors： Ishihara C,Kushida K,Takahashi M,Ohishi T,Murata H,Nagano A,Goto S

    更新日期：2000-04-01 00:00:00

  • Epidural malignant lymphomas of the spine: collected experiences with epidural malignant lymphomas of the spinal canal and their treatment.

    abstract：STUDY DESIGN:Retrospective study of 13 patients treated by the authors. OBJECTIVE:To examine the course of the disease of malignant lymphoma (ML) presenting in the epidural area of the spine. SETTING:Department of Neurosurgery, Third Department of Internal Medicine, Medical and Health Science Center, University of De...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sj.sc.3102124

    authors： Székely G,Miltényi Z,Mezey G,Simon Z,Gyarmati J,Gergely L Jr,Bognár L,Illés A

    更新日期：2008-04-01 00:00:00

  • Fat oxidation at different intensities in wheelchair racing.

    abstract：STUDY DESIGN:Determination of fat oxidation at three different intensities in trained wheelchair athletes on the treadmill. OBJECTIVE:The aim of the study was to assess the level and highest rate of fat oxidation in endurance-trained wheelchair athletes for recommendation on endurance training. SETTING:Institute of S...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sj.sc.3101548

    authors： Knechtle B,Müller G,Willmann F,Eser P,Knecht H

    更新日期：2004-01-01 00:00:00

  • Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury.

    abstract：STUDY DESIGN:Cross-sectional. OBJECTIVES:To describe the manual wheelchair (MWC) skill profiles of experienced MWC users with spinal cord injury and their wheeled mobility (distance and speed) while considering their level of injury and age. SETTING:Rehabilitation centers, participant's home and the community. METHO...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2011.98

    authors： Lemay V,Routhier F,Noreau L,Phang SH,Ginis KA

    更新日期：2012-01-01 00:00:00

  • Effect of detrusor botulinum toxin a injection on urothelial dysfunction in patients with chronic spinal cord injury: a clinical and immunohistochemistry study before and after treatment.

    abstract：OBJECTIVE:The objective of this study is to investigate the changes of urothelial junction proteins, apoptosis and suburothelial inflammation after detrusor injection of botulinum toxin A (BoNT-A) in patients with spinal cord injury (SCI) and neurogenic detrusor overactivity (NDO). METHODS:A total of 26 patients with ...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2015.241

    authors： Chen SF,Chang CH,Kuo HC

    更新日期：2016-10-01 00:00:00

  • Abnormal cutaneous flexor reflex activity during controlled isometric plantarflexion in human spinal cord injury spasticity syndrome.

    abstract：STUDY DESIGN:Although abnormal cutaneous reflex (CR) activity has been identified during gait after incomplete spinal cord injury (SCI), this activity has not been directly compared in subjects with and without the spasticity syndrome. OBJECTIVES:Characterisation of CR activity during controlled rest and 'ramp and hol...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2016.9

    authors： Gómez-Soriano J,Bravo-Esteban E,Pérez-Rizo E,Ávila-Martín G,Galán-Arriero I,Simón-Martinez C,Taylor J

    更新日期：2016-09-01 00:00:00

  • Feasibility of a novel diagnostic chart of intramedullary spinal cord tumors in magnetic resonance imaging.

    abstract：STUDY DESIGN:Retrospective chart review. OBJECTIVES:Each type of intramedullary spinal cord tumor (IMSCT) has specific anatomical and pathological features visible on magnetic resonance (MR) imaging. The purpose of this study was to investigate the accuracy of preoperative IMSCT diagnosis using our diagnostic chart of...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2014.127

    authors： Arima H,Hasegawa T,Togawa D,Yamato Y,Kobayashi S,Yasuda T,Matsuyama Y

    更新日期：2014-10-01 00:00:00

  • Prevention of heterotopic ossification after spinal cord injury with COX-2 selective inhibitor (rofecoxib).

    abstract：STUDY DESIGN:A randomized, prospective, double-blind, placebo-controlled clinical trial. OBJECTIVES:To determine the effect of COX-2-selective inhibitor on the prevention of heterotopic ossification (HO) after spinal cord injury (SCI). SETTING:County and University Teaching Hospital, Miami, FL, USA. METHODS:A total ...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1038/sj.sc.3101628

    authors： Banovac K,Williams JM,Patrick LD,Levi A

    更新日期：2004-12-01 00:00:00

  • Measuring resilience with the Connor-Davidson Resilience Scale (CD-RISC): which version to choose?

    abstract：STUDY DESIGN:Cross-sectional psychometric study. OBJECTIVES:To compare psychometric properties of the Connor-Davidson Resilience Scale (CD-RISC) with 25, 10, and 2 items, and to assess the agreement between these versions in individuals with spinal cord injury (SCI). SETTING:Standard psychological screening at a Dutc...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-019-0240-1

    authors： Kuiper H,van Leeuwen CCM,Stolwijk-Swüste JM,Post MWM

    更新日期：2019-05-01 00:00:00

  • Prescription medication cost, insurance coverage, and cost-related nonadherence among people with spinal cord injury in Canada.

    abstract：STUDY DESIGN:Observational cross-sectional study. OBJECTIVES:To describe the most common prescription medications used and the extent of out-of-pocket cost, insurance coverage, and cost-related nonadherence (CRNA) for those medications by people with spinal cord injury (SCI) in Canada. SETTING:Community in Canada. M...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-019-0406-x

    authors： Gupta S,McColl MA,Smith K,Guilcher SJT

    更新日期：2020-05-01 00:00:00

  • Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation.

    abstract：STUDY DESIGN:Systematic review. OBJECTIVES:(1) To describe and compare follow-up care programmes, performed by rehabilitation centres, for persons with spinal cord injury (SCI) and (2) to describe the effects of these programmes regarding the occurrence of secondary impairments, well-being, the quality and costs of ca...

    journal_title：Spinal cord

    pub_type： 杂志文章,评审

    doi：10.1038/sj.sc.3101750

    authors： Bloemen-Vrencken JH,de Witte LP,Post MW

    更新日期：2005-08-01 00:00:00

  • Patient preferences for next generation neural prostheses to restore bladder function.

    abstract：STUDY DESIGN:A survey administered to 66 individuals with spinal cord injury (SCI) implementing a choice-based conjoint (CBC) analysis. Six attributes with three levels each were defined and used to generate choice sets with treatment scenarios. Patients were asked to choose the scenario that they preferred most. OBJE...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2010.65

    authors： Sanders PM,Ijzerman MJ,Roach MJ,Gustafson KJ

    更新日期：2011-01-01 00:00:00

  • Static respiratory pressures in patients with post-traumatic tetraplegia.

    abstract：:The purpose of this study was to examine ventilatory muscle strength as represented by static respiratory pressures in 30 tetraplegic patients with a complete lesion between the fifth and the eighth cervical vertebrae. The Inspiratory/Expiratory Pressure Meter was used to obtain maximum static expiratory mouth pressur...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章

    doi：10.1038/sj.sc.3100336

    authors： Gounden P

    更新日期：1997-01-01 00:00:00

  • Factors influencing specialized health care utilization by individuals with spinal cord injury: a cross-sectional survey.

    abstract：STUDY DESIGN:Cross-sectional observational study using data from the second community survey of the Swiss Spinal Cord Injury Cohort Study (Survey 2017) conducted between 03/2017 and 03/2018. OBJECTIVES:To identify facilitators of and barriers to utilizing SCI-specialized outpatient clinic and inpatient care by individ...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-020-00581-6

    authors： Ronca E,Scheel-Sailer A,Eriks-Hoogland I,Brach M,Debecker I,Gemperli A

    更新日期：2020-11-13 00:00:00

  • Profile of spinal injuries in Lagos, Nigeria.

    abstract：STUDY DESIGN:Retrospective study. OBJECTIVE:To describe the pattern and outcome of spinal cord injuries in Lagos, Nigeria. SETTING:Nigeria, Lagos. METHODS:This retrospective review of cases was conducted at Lagos University Teaching Hospital (LUTH), Lagos, between January 1992 and December 2006. RESULTS:A total of ...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2008.93

    authors： Obalum DC,Giwa SO,Adekoya-Cole TO,Enweluzo GO

    更新日期：2009-02-01 00:00:00

  • Premature ejaculation associated with lumbosacral lesions.

    abstract：STUDY DESIGN:Retrospective study. OBJECTIVES:Spinal cord injuries are usually associated with anejaculation, but few premature ejaculations (PE) are described in lumbosacral lesions. The objective of the study is to analyze the retrospective files of patients with lumbosacral lesions to explore whether PE is systemati...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2014.175

    authors： Courtois F,Charvier K

    更新日期：2014-12-01 00:00:00

  • Clinical and functional evaluation of a gaze controlled system for the severely handicapped.

    abstract：:This preliminary study evaluates the suitability of a gaze controlled communication system for severely handicapped patients. The system drives a computer by movements of the patient's pupils. The capacity to communicate by producing text on a screen was assessed in 30 patients, 22 traumatic tetraplegics and 8 patient...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章

    doi：10.1038/sj.sc.3100496

    authors： Thoumie P,Charlier JR,Alecki M,D'Erceville D,Heurtin A,Mathe JF,Nadeau G,Wiart L

    更新日期：1998-02-01 00:00:00

  • Endoscopic management of urethral trauma in male spinal cord injury patients.

    abstract：:Spinal cord injury (SCI) patients with a neuropathic bladder are more prone to develop catheter-induced urethral trauma than occurs in the general population because many of the SCI patients are on indwelling urethral catheter drainage, or intermittent urethral catheterisation is performed either by them or by their c...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章

    doi：10.1038/sc.1996.117

    authors： Vaidyanathan S,Krishnan KR,Soni BM

    更新日期：1996-11-01 00:00:00

  • The effect of tidal volumes on the time to wean persons with high tetraplegia from ventilators.

    abstract：STUDY DESIGN:Retrospective review of patient medical records comparing the outcomes of two groups of individuals with high-level (C3-4) tetraplegia- those with high-volume and those with low-volume mechanical ventilation. OBJECTIVES:To determine if higher volume mechanical ventilation contributes to faster weaning fro...

    journal_title：Spinal cord

    pub_type： 临床试验,杂志文章

    doi：10.1038/sj.sc.3100818

    authors： Peterson WP,Barbalata L,Brooks CA,Gerhart KA,Mellick DC,Whiteneck GG

    更新日期：1999-04-01 00:00:00

  • Vesicoureteral reflux in the early stage of spinal cord injury: a retrospective study.

    abstract：STUDY DESIGN:A retrospective study. OBJECTIVES:To investigate the risk factors of vesicoureteral reflux in the early stage of spinal cord injury. SETTING:Japan. METHODS:Urological evaluation, including cystography and urodynamic study was performed in patients in the early stage of spinal cord injury. The patients w...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sj.sc.3101091

    authors： Suzuki T,Ushiyama T

    更新日期：2001-01-01 00:00:00

  • Utilization, access and satisfaction with primary care among people with spinal cord injuries: a comparison of three countries.

    abstract：STUDY DESIGN:Cross-sectional; survey. OBJECTIVES:To describe the utilization, accessibility and satisfaction of primary and preventive health-care services to individuals with long-term spinal cord injuries, and compare results among three countries: the United States, Canada and the United Kingdom. SETTING:The Canad...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sj.sc.3101933

    authors： Donnelly C,McColl MA,Charlifue S,Glass C,O'Brien P,Savic G,Smith K

    更新日期：2007-01-01 00:00:00

  • Foraminal and far lateral lumbar disc herniations: surgical alternatives and outcome measures.

    abstract：:Far lateral disc herniations constitute 7-12% of all disc herniations. They may be purely far lateral or extraforaminal in location, located beyond the pedicles, or may include intraforaminal and even intracanalicular components. Occurring predominantly at the L4-L5 and L3-L4 levels in almost equal numbers, they are o...

    journal_title：Spinal cord

    pub_type： 杂志文章,评审

    doi：10.1038/sj.sc.3101319

    authors： Epstein NE

    更新日期：2002-10-01 00:00:00

  • Predictors of musculoskeletal pain in the upper extremities of individuals with spinal cord injury.

    abstract：INTRODUCTION:Increased demands on the upper extremities (UE) have been associated with a higher occurrence of musculoskeletal pain in individuals with spinal cord injury (SCI). STUDY DESIGN:This is a cross-sectional retrospective study. OBJECTIVE:The aim of this study was to characterize SCI subjects with musculoskel...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2015.126

    authors： Barbetta DC,Lopes AC,Chagas FN,Soares PT,Casaro FM,Poletto MF,de Carvalho Paiva Ribeiro YH,Ogashawara TO

    更新日期：2016-02-01 00:00:00

  • Are adults with spinal cord injury meeting the spinal cord injury-specific physical activity guidelines? A look at a sample from a Canadian province.

    abstract：STUDY DESIGN:One cross-sectional study. OBJECTIVES:To examine the extent to which a sample of adults with spinal cord injury (SCI) meet the SCI-specific physical activity guidelines and to identify potential demographic, injury and motivational characteristics related to participation. SETTING:Quebec, Canada. METHOD...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/sc.2016.181

    authors： Rocchi M,Routhier F,Latimer-Cheung AE,Ginis KAM,Noreau L,Sweet SN

    更新日期：2017-05-01 00:00:00

  • Content comparison of the Spinal Cord Injury Model System Database to the ICF Generic Sets and Core Sets for spinal cord injury.

    abstract：STUDY DESIGN:Mapping of the National Spinal Cord Injury Model System (SCIMS) Database (NSCID) to the International Classification of Functioning, Disability and Health (ICF). OBJECTIVES:To link the content of the latest two versions of the NSCID to the ICF; more specifically (1) to compare the content of the current N...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-019-0326-9

    authors： Maritz R,Pongpipatpaiboon K,Melvin JL,Graves DE,Prodinger B

    更新日期：2019-12-01 00:00:00

  • Transcutaneous contrast-enhanced ultrasound imaging of the posttraumatic spinal cord.

    abstract：STUDY DESIGN:Experimental animal study. OBJECTIVE:The current study aims to test whether the blood flow within the contused spinal cord can be assessed in a rodent model via the acoustic window of the laminectomy utilizing transcutaneous ultrasound. SETTING:Department of Neurological Surgery, University of Washington...

    journal_title：Spinal cord

    pub_type： 杂志文章

    doi：10.1038/s41393-020-0415-9

    authors： Khaing ZZ,Cates LN,Hyde JE,Hammond R,Bruce M,Hofstetter CP

    更新日期：2020-06-01 00:00:00