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Anesth Analg 2007; 105:1410-1412
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000286169.02429.11
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NEUROSURGICAL ANESTHESIOLOGY

Intrathecal Opioids for Control of Chronic Low Back Pain During Deep Brain Stimulation Procedures

Michelle Lotto, MD*, and Nicholas M. Boulis, MD{dagger}

From the *Section of Neurological Anesthesia, Cleveland Clinic, and {dagger}Cleveland Clinic Lerner College of Medicine, Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio.

Address correspondence and reprint requests to Michelle Lotto, MD, Department of General Anesthesiology, E-31, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195. Address e-mail to lottom{at}ccf.org.

Abstract

Patients with chronic low back pain may not be able to endure the supine position required by the lengthy deep brain stimulation procedure. Many neurophysiologists severely restrict the use of opioids and sedative drugs during deep brain stimulation procedures due to the concern for depression of cellular firing frequencies used to map the brain for placement of the stimulator leads. We present two cases in which spinal opioids were used to achieve prolonged pain relief in patients with chronic back pain, without altering cellular firing critical for brain mapping.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.