Serious pain treatment with intrathecal ziconotide pathway - clinical case

The aim of this report is to describe the emission of a serious painful symptomatology in a 57 years patient that suffered from low back pain and pain to the inferior limbs for several years. The pain was a result of surgical treatment (Failed Back Surgery Syndrome, FBSS) and the gravity of the symptoms had negatively influenced the patient's quality of life. The pain, nociceptive and neuropathic, was resistant to several therapeutic approaches (pharmacological or not). Also a period of test with dorsal spinal cord stimulation (SCS) was ineffective. After careful analysis, the patient has been submitted to period of test with ziconotide intrathecally administered.The result that surpassed all one's expectations, was a remarkable reduction of the pain. Such reduction allowed the patient to totally recover its autonomy and clearly improve the quality of life.