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Br J Anaesth. 2006 Dec;97(6):866-8. Epub 2006 Oct 24.

Spinal cord stimulation for relief of abdominal pain in two patients with familial Mediterranean fever.

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  • 1Department of Pain Management, Russells Hall Hospital, Dudley DY1 2HQ, UK. drsandeepkapur@hotmail.com

Abstract

Familial Mediterranean fever is a hereditary disease characterized by recurrent attacks of fever and serosal inflammation that commonly presents as severe abdominal pain. Though colchicine remains the mainstay of treatment, a significant proportion of patients are partially responsive, unresponsive or intolerant to it. We present two such cases where spinal cord stimulation (SCS) was used to manage the paroxysmal abdominal pain associated with this disease. Abdominal visceral pain pathways and the application of SCS techniques in its management are discussed.

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