Anesthesia & Clinical Research
Open Access

Joseph N Atallah

Publications

• Case Report
  Exacerbation of Major Depression in a Patient with a Peripheral Nerve Stimulator
  Author(s): Jonathan C Koning, Emmanuel G Gage, Mazin Sarhan, Daniel Gaudin, Ronald McGinnis and Joseph N AtallahJonathan C Koning, Emmanuel G Gage, Mazin Sarhan, Daniel Gaudin, Ronald McGinnis and Joseph N Atallah
  
  Mood disorders have been shown to influence the effectiveness of interventional treatment modalities for chronic pain. Likewise, spinal cord and peripheral nerve stimulators have been shown to improve depression scores in patients with chronic pain when effectively treating the pain. However, to our knowledge, a case of peripheral nerve stimulation worsening a patient’s depression has yet to be described. We present a case of a 62-year-old female with pre-existing bipolar disorder and left sided occipital neuralgia referred for interventional treatment. Greater occipital nerve block and radiofrequency neurotomy of the greater occipital nerve did not provide her long lasting effect. A peripheral nerve stimulator was then implanted over the greater and lesser occipital nerves. Pain relief was near 100% for four months. During this time the patient exhibited increased mood .. View More»
  DOI: 10.4172/2155-6148.1000392

  Abstract PDF

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