{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:27:17Z","timestamp":1762432037288,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,10]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Transverse myelitis is an inflammatory disease of the central nervous system that disrupts nerve signals\u2019 conduction. The illness is characterised by weakness in the lower limbs accompanied by paresthesia and urinary and bowel incontinence. The most disabling sequel is the onset of chronic neuropathic pain, which can severely limit the patient\u2019s independence and negatively affect her quality of life. We present the case of a patient who received a spinal neurostimulator after a failure of conventional medical treatment. Masking pain through paresthesia, a mechanism provided by the device significantly reduces pain perception. The treatment success in our patient represents an advance in pain therapy.<\/jats:p>","DOI":"10.1136\/bcr-2021-242522","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T13:44:33Z","timestamp":1621431873000},"page":"e242522","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spinal cord stimulator for neuropathic pain in a patient with severe disability due to transverse myelitis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8016-5686","authenticated-orcid":false,"given":"Hector Xavier","family":"Martinez Villegas","sequence":"first","affiliation":[{"name":"Anesthesiology, Eugenio Espejo Hospital of Specialties, Quito, Pichincha, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4410-7059","authenticated-orcid":false,"given":"Alejandro","family":"Hallo","sequence":"additional","affiliation":[{"name":"Teaching and Research, Eugenio Espejo Hospital of Specialties, Pichincha, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soraya","family":"Cruz-Loor","sequence":"additional","affiliation":[{"name":"CETDOL (Centro Especializado para Tratamiento del Dolor), Guayaquil, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9342-1415","authenticated-orcid":false,"given":"Karen","family":"Jacome-Calderon","sequence":"additional","affiliation":[{"name":"Medical Department, Fundacion Cambiando Vidas, Quito, Pichincha, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"doi-asserted-by":"crossref","unstructured":"PAC L . Transverse myelitis. Essent Phys Med Rehabil 2020:952\u20139.","key":"2025082710112412000_14.5.e242522.1","DOI":"10.1016\/B978-0-323-54947-9.00162-0"},{"key":"2025082710112412000_14.5.e242522.2","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1056\/NEJMcp1001112","article-title":"Transverse myelitis","volume":"363","author":"Frohman","year":"2010","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082710112412000_14.5.e242522.3","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1213\/XAA.0000000000001078","article-title":"Relief of neuropathic pain after spinal cord stimulator implantation in a patient with idiopathic thoracic transverse myelitis: a case report","volume":"13","author":"Reddy","year":"2019","journal-title":"A A Pract"},{"doi-asserted-by":"publisher","key":"2025082710112412000_14.5.e242522.4","DOI":"10.2741\/1351"},{"key":"2025082710112412000_14.5.e242522.5","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0303-8467(99)00012-8","article-title":"Efficacy of spinal cord stimulation for neuropathic pain following idiopathic acute transverse myelitis: a case report","volume":"101","author":"Laffey","year":"1999","journal-title":"Clin Neurol Neurosurg"},{"key":"2025082710112412000_14.5.e242522.6","doi-asserted-by":"crossref","first-page":"76","DOI":"10.7224\/1537-2073.2017-083","article-title":"Case Report: Scrambler Therapy for Treatment-Resistant Central Neuropathic Pain in a Patient with Transverse Myelitis","volume":"21","author":"Mealy","year":"2019","journal-title":"Int J MS Care"},{"doi-asserted-by":"publisher","key":"2025082710112412000_14.5.e242522.7","DOI":"10.1111\/ene.13103"},{"key":"2025082710112412000_14.5.e242522.8","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4103\/0259-1162.84174","article-title":"Spinal cord stimulation: current applications for treatment of chronic pain","volume":"5","author":"Vannemreddy","year":"2011","journal-title":"Anesth Essays Res"},{"doi-asserted-by":"publisher","key":"2025082710112412000_14.5.e242522.9","DOI":"10.3171\/spi.2004.100.3.0254"},{"key":"2025082710112412000_14.5.e242522.10","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0303-8467(99)00012-8","article-title":"Efficacy of spinal cord stimulation for neuropathic pain following idiopathic acute transverse myelitis: a case report","volume":"101","author":"Laffey","year":"1999","journal-title":"Clin Neurol Neurosurg"},{"doi-asserted-by":"publisher","key":"2025082710112412000_14.5.e242522.11","DOI":"10.1111\/j.1533-2500.2007.00148.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242522","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:11:35Z","timestamp":1756314695000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,19]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2021-242522"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242522","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}