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Several studies have shown the efficacy of spinal cord stimulation in reducing the intensity of neuropathic pain. This efficacy is defined as obtaining relief of at least 50% of the preoperative pain intensity assessed by the visual analog scale or the digital pain scale. No study has evaluated the efficacy of stimulation specifically on the different components of neuropathic pain, only an overall improvement in pain has been described.
A specific questionnaire for neuropathic pain has been extensively validated in neuropathic pain: the Neuropathic Pain Symptom Inventory (NPSI).
Thanks to the multidimensional structure of this questionnaire, investigators propose to evaluate separately and in a much more specific way the efficacy of spinal cord stimulation in the short and long term on the different components of neuropathic pain and to define responders subgroups.
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| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of spinal cord stimulation on the various symptoms of neuropathic pain using the Neuropathic Pain Symptom Inventory (NPSI), change is being assessed. | Neuropathic pain score obtained by the NPSI questionnaire | Day 0; Day 7 after surgery; 3 months, 6 months and 12 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of spinal cord stimulation on the psychological level (anxiety and depression) | Anxiety and depression score assessed by Hospital Anxiety and Depression (HAD) questionnaire | Day 0 and 12 months after surgery |
| Efficacy of spinal cord stimulation on quality of life. |
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Inclusion Criteria:
Age ≥ 18 years
With neuropathic pain:
Requiring spinal cord stimulation: the indication is validated by the multidisciplinary meeting (RCP Neuromodulation / Pain at Foch Hospital)
Having given his non-opposition
Exclusion Criteria:
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Patients with neuropathic pain following surgery or in the context of a complex regional pain syndrome and requiring spinal cord stimulation in the neurosurgery department of Foch Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Naoufel Ouerchefani, MD | Contact | 01 46 25 35 33 | 0033 | n.ouerchefani@hopital-foch.com |
| Name | Affiliation | Role |
|---|---|---|
| Naoufel Ouerchefani, MD | Foch Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Foch | Recruiting | Suresnes | Île-de-France Region | 92500 | France |
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| ID | Term |
|---|---|
| D009437 | Neuralgia |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
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Quality of life score assessed by EQ-5D questionnaire |
| Day 0 and 12 months after surgery |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |