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Manejo del dolor tras cirugía de ependimoma cervical y hernia discal cervical.

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Title: Manejo del dolor tras cirugía de ependimoma cervical y hernia discal cervical.
Authors: García, Irene Zaragoza1 (AUTHOR) irene.zaragoza.garcia@psmar.cat, García, Luis Moltó1 (AUTHOR), Asins, Juan Castaño2 (AUTHOR), Caro, Natalia Cantón1 (AUTHOR), Vicente, Olga Comps1 (AUTHOR)
Source: Dolor: Investigación, Clínica & Terapéutica. 2024, Vol. 39 Issue 2, p44-47. 4p.
Subjects: ACCEPTANCE & commitment therapy, SPINAL infusions, SPINAL cord, PSYCHOLOGICAL factors, CHRONIC pain
Abstract (English): The International Association for the Study of Pain defines pain as «an unpleasant sensory and emotional experience associated with, or described in terms of, actual or potential tissue damage». The management of refractory chronic pain is complex. Intrathecal therapy is considered a safe and effective treatment. However, the psychological and social impact also needs to be considered. Ziconotide is an intrathecal drug and a first-line treatment for refractory chronic pain. We present the case of a patient with neuropathic pain after resection of an ependymoma and disc herniation. After failure of pharmacological therapy and spinal cord stimulation, it was decided to implant an intrathecal ziconotide infusion pump. Despite clinical improvement, the patient developed an anxious-depressive disorder and considered euthanizing. The patient was treated with acceptance and commitment therapy, showed improvement in the emotional scale and physical activity, and refused the request for euthanasia. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La Asociación Internacional para el Estudio del Dolor define el dolor como «una experiencia sensorial y emocional desagradable, asociada a una lesión presente o potencial de los tejidos y expresada en dicho términos». Su abordaje es complejo, pero la terapia intratecal se considera segura y eficaz. La repercusión psicológica y social es un aspecto importante que tratar. La ziconotida es un fármaco de uso intratecal, de primera elección para el dolor crónico refractario. Presentamos el caso de un paciente con dolor neuropático tras la exéresis de un ependimoma y una hernia discal. Tras el fracaso de la terapia farmacológica y de la electroestimulación medular, se colocó una bomba para la administración intratecal de ziconotida. Pese a la mejoría clínica, presentaba un cuadro ansioso-depresivo y se planteaba solicitar la eutanasia. Tras la intervención psicoterapéutica mediante terapia de aceptación y compromiso, el paciente presentó mejoría tanto emocional como física, y rechazó la eutanasia. [ABSTRACT FROM AUTHOR]
Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Header DbId: lth
DbLabel: MedicLatina
An: 180281951
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Label: Title
  Group: Ti
  Data: Manejo del dolor tras cirugía de ependimoma cervical y hernia discal cervical.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22García%2C+Irene+Zaragoza%22">García, Irene Zaragoza</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> irene.zaragoza.garcia@psmar.cat</i><br /><searchLink fieldCode="AR" term="%22García%2C+Luis+Moltó%22">García, Luis Moltó</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Asins%2C+Juan+Castaño%22">Asins, Juan Castaño</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Caro%2C+Natalia+Cantón%22">Caro, Natalia Cantón</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vicente%2C+Olga+Comps%22">Vicente, Olga Comps</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Dolor%3A+Investigación%2C+Clínica+%26+Terapéutica%22">Dolor: Investigación, Clínica & Terapéutica</searchLink>. 2024, Vol. 39 Issue 2, p44-47. 4p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22ACCEPTANCE+%26+commitment+therapy%22">ACCEPTANCE & commitment therapy</searchLink><br /><searchLink fieldCode="DE" term="%22SPINAL+infusions%22">SPINAL infusions</searchLink><br /><searchLink fieldCode="DE" term="%22SPINAL+cord%22">SPINAL cord</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGICAL+factors%22">PSYCHOLOGICAL factors</searchLink><br /><searchLink fieldCode="DE" term="%22CHRONIC+pain%22">CHRONIC pain</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The International Association for the Study of Pain defines pain as «an unpleasant sensory and emotional experience associated with, or described in terms of, actual or potential tissue damage». The management of refractory chronic pain is complex. Intrathecal therapy is considered a safe and effective treatment. However, the psychological and social impact also needs to be considered. Ziconotide is an intrathecal drug and a first-line treatment for refractory chronic pain. We present the case of a patient with neuropathic pain after resection of an ependymoma and disc herniation. After failure of pharmacological therapy and spinal cord stimulation, it was decided to implant an intrathecal ziconotide infusion pump. Despite clinical improvement, the patient developed an anxious-depressive disorder and considered euthanizing. The patient was treated with acceptance and commitment therapy, showed improvement in the emotional scale and physical activity, and refused the request for euthanasia. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La Asociación Internacional para el Estudio del Dolor define el dolor como «una experiencia sensorial y emocional desagradable, asociada a una lesión presente o potencial de los tejidos y expresada en dicho términos». Su abordaje es complejo, pero la terapia intratecal se considera segura y eficaz. La repercusión psicológica y social es un aspecto importante que tratar. La ziconotida es un fármaco de uso intratecal, de primera elección para el dolor crónico refractario. Presentamos el caso de un paciente con dolor neuropático tras la exéresis de un ependimoma y una hernia discal. Tras el fracaso de la terapia farmacológica y de la electroestimulación medular, se colocó una bomba para la administración intratecal de ziconotida. Pese a la mejoría clínica, presentaba un cuadro ansioso-depresivo y se planteaba solicitar la eutanasia. Tras la intervención psicoterapéutica mediante terapia de aceptación y compromiso, el paciente presentó mejoría tanto emocional como física, y rechazó la eutanasia. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Languages:
      – Code: spa
        Text: Spanish
    PhysicalDescription:
      Pagination:
        PageCount: 4
        StartPage: 44
    Subjects:
      – SubjectFull: ACCEPTANCE & commitment therapy
        Type: general
      – SubjectFull: SPINAL infusions
        Type: general
      – SubjectFull: SPINAL cord
        Type: general
      – SubjectFull: PSYCHOLOGICAL factors
        Type: general
      – SubjectFull: CHRONIC pain
        Type: general
    Titles:
      – TitleFull: Manejo del dolor tras cirugía de ependimoma cervical y hernia discal cervical.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: García, Irene Zaragoza
      – PersonEntity:
          Name:
            NameFull: García, Luis Moltó
      – PersonEntity:
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            NameFull: Asins, Juan Castaño
      – PersonEntity:
          Name:
            NameFull: Caro, Natalia Cantón
      – PersonEntity:
          Name:
            NameFull: Vicente, Olga Comps
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          Dates:
            – D: 01
              M: 04
              Text: 2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 02140659
          Numbering:
            – Type: volume
              Value: 39
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Dolor: Investigación, Clínica & Terapéutica
              Type: main
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