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BJA Advance Access published online on October 24, 2006
British Journal of Anaesthesia, doi:10.1093/bja/ael279
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted July 15, 2006

Case Report

Spinal cord stimulation for relief of abdominal pain in two patients with familial Mediterranean fever

S. Kapur 1 *, H. Mutagi 1, and J. Raphael 1

1 Department of Pain Management, Russells Hall Hospital, Dudley DY1 2HQ, UK

* To whom correspondence should be addressed.
S. Kapur, E-mail: drsandeepkapur{at}hotmail.com


  Abstract

Familial Mediterranean fever is a hereditary disease characterized by recurrent attacks of fever and serosal inflammation that commonly presents as severe abdominal pain. Though colchicine remains the mainstay of treatment, a significant proportion of patients are partially responsive, unresponsive or intolerant to it. We present two such cases where spinal cord stimulation (SCS) was used to manage the paroxysmal abdominal pain associated with this disease. Abdominal visceral pain pathways and the application of SCS techniques in its management are discussed.

Keywords: fever, familial Mediterranean; pain, visceral; techniques, spinal cord stimulation.
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