Progressive Paraplegia from Spinal Cord Stimulator Lead Fibrotic Encapsulation
| Autor: | Franklin Epstein, Jonathan A. Benfield, Asif Maknojia |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Spinal stenosis Physical Therapy Sports Therapy and Rehabilitation Thoracic Vertebrae law.invention 03 medical and health sciences Spinal Stenosis 0302 clinical medicine law Spinal cord compression medicine Humans 030212 general & internal medicine Failed Back Surgery Syndrome Paraplegia Spinal Cord Stimulation integumentary system business.industry Rehabilitation Middle Aged medicine.disease Spinal cord stimulator Electrodes Implanted Surgery Lumbar anterior root stimulator medicine.anatomical_structure nervous system Dermatome Radicular pain Anesthesia Thoracic vertebrae business Spinal Cord Compression tissues 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 95:e30-e33 |
| ISSN: | 0894-9115 |
| DOI: | 10.1097/phm.0000000000000411 |
| Popis: | Ten years after placement of a spinal cord stimulator (SCS) and resolution of pain, this patient presented with progressive paraplegia, worsening thoracic radicular pain at the same dermatome level of the electrodes, and bowel and bladder incontinence. Computed tomographic myelogram confirmed thoracic spinal cord central canal stenosis at the level of electrodes. After removal of the fibrotic tissue and electrodes, the patient had resolution of his thoracic radicular pain and a return of his pre-SCS pain and minimal neurologic and functional return. To the authors' knowledge, no studies have been identified with thoracic SCS lead fibrosis in the United States causing permanent paraplegia. Only one other case has been reported in Madrid, Spain. Patients with SCS presenting with loss of pain relief, new-onset radicular or neuropathic pain in same dermatome(s) as SCS electrodes, worsening neuromuscular examination, or new bladder or bowel incontinence need to be evaluated for complications regarding SCS implantation causing spinal stenosis and subsequent cord compression to avoid permanent neurologic deficits. |
| Databáze: | OpenAIRE |
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