The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury
Deafferentation pain and allodynia commonly occur after spinal cord trauma, but its treatment is often challenging. The literature on effective therapies for pediatric deafferentation pain, especially in the setting of spinal cord injury, is scarce. We report the case of a 12-year-old patient with a...
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Hindawi Limited
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/8835292 |
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doaj-2dc1e6c1011042dd96e5f8100ef31a392020-11-25T04:07:35ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/88352928835292The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord InjuryDevina G. Shiwlochan0Misty Shah1Khushboo Baldev2Donna-Ann Thomas3Maxime Debrosse4Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USADepartment of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USADepartment of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USADepartment of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USADepartment of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USADeafferentation pain and allodynia commonly occur after spinal cord trauma, but its treatment is often challenging. The literature on effective therapies for pediatric deafferentation pain, especially in the setting of spinal cord injury, is scarce. We report the case of a 12-year-old patient with acute allodynia after a gunshot injury to the spine. The pain was refractory to multiple analgesics, but resolved with ketamine, which also improved the patient’s physical function and quality of life, a trend that continued many months after the injury. We suggest that early initiation of ketamine may be effective for acute pediatric deafferentation pain secondary to spinal cord injury, as well as preventing chronic pain states in that population.http://dx.doi.org/10.1155/2020/8835292 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Devina G. Shiwlochan Misty Shah Khushboo Baldev Donna-Ann Thomas Maxime Debrosse |
| spellingShingle |
Devina G. Shiwlochan Misty Shah Khushboo Baldev Donna-Ann Thomas Maxime Debrosse The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury Case Reports in Anesthesiology |
| author_facet |
Devina G. Shiwlochan Misty Shah Khushboo Baldev Donna-Ann Thomas Maxime Debrosse |
| author_sort |
Devina G. Shiwlochan |
| title |
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury |
| title_short |
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury |
| title_full |
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury |
| title_fullStr |
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury |
| title_full_unstemmed |
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury |
| title_sort |
effectiveness of ketamine in pediatric acute deafferentation pain after spinal cord injury |
| publisher |
Hindawi Limited |
| series |
Case Reports in Anesthesiology |
| issn |
2090-6382 2090-6390 |
| publishDate |
2020-01-01 |
| description |
Deafferentation pain and allodynia commonly occur after spinal cord trauma, but its treatment is often challenging. The literature on effective therapies for pediatric deafferentation pain, especially in the setting of spinal cord injury, is scarce. We report the case of a 12-year-old patient with acute allodynia after a gunshot injury to the spine. The pain was refractory to multiple analgesics, but resolved with ketamine, which also improved the patient’s physical function and quality of life, a trend that continued many months after the injury. We suggest that early initiation of ketamine may be effective for acute pediatric deafferentation pain secondary to spinal cord injury, as well as preventing chronic pain states in that population. |
| url |
http://dx.doi.org/10.1155/2020/8835292 |
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