scholarly journals Spinal cord stimulation for the treatment of chronic pelvic pain after Tarlov cyst surgery in a 66-year-old woman: A case report

2020 ◽  
Vol 25 ◽  
pp. e00171 ◽  
Author(s):  
Jamal Hasoon ◽  
Amnon A. Berger ◽  
Ivan Urits ◽  
Vwaire Orhurhu ◽  
Omar Viswanath ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain ◽  
Tarlov Cyst

scholarly journals Spinal cord stimulation in the approach to chronic pelvic pain

Medicine ◽  
2021 ◽  
Vol 100 (52) ◽  
pp. e28379
Author(s):  
Estefanía Romero-Serrano ◽  
José Miguel Esparza-Miñana
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain

Spinal Cord Stimulation for Visceral Pain: Present Approaches and Future Strategies

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2298-2309
Author(s):  
Royce W Woodroffe ◽  
Amy C Pearson ◽  
Amy M Pearlman ◽  
Matthew A Howard ◽  
Haring J W Nauta ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain ◽  
Potential Role ◽  
Visceral Pain ◽  
The United States ◽  
Off Label ◽  
Pain Pathways ◽  
Implantation Techniques

Abstract Introduction The introduction of successful neuromodulation strategies for managing chronic visceral pain lag behind what is now treatment of choice in refractory chronic back and extremity pain for many providers in the United States and Europe. Changes in public policy and monetary support to identify nonopioid treatments for chronic pain have sparked interest in alternative options. In this review, we discuss the scope of spinal cord stimulation (SCS) for visceral pain, its limitations, and the potential role for new intradural devices of the type that we are developing in our laboratories, which may be able to overcome existing challenges. Methods A review of the available literature relevant to this topic was performed, with particular focus on the pertinent neuroanatomy and uses of spinal cord stimulation systems in the treatment of malignant and nonmalignant gastrointestinal, genitourinary, and chronic pelvic pain. Results To date, there have been multiple off-label reports testing SCS for refractory gastrointestinal and genitourinary conditions. Though some findings have been favorable for these organs and systems, there is insufficient evidence to make this practice routine. The unique configuration and layout of the pelvic pain pathways may not be ideally treated using traditional SCS implantation techniques, and intradural stimulation may be a viable alternative. Conclusions Despite the prevalence of visceral pain, the application of neuromodulation therapies, a standard approach for other painful conditions, has received far too little attention, despite promising outcomes from uncontrolled trials. Detailed descriptions of visceral pain pathways may offer several clues that could be used to implement devices tailored to this unique anatomy.

scholarly journals Successful Treatment with a Combination of Spinal Cord Stimulation and Physical Therapy for Complex Regional Pain Syndrome：A Case Report

2020 ◽  
Vol 57 (6) ◽  
pp. 558-564
Author(s):  
Yuta Shinohara ◽  
Aiko Ishikawa ◽  
Daisuke Nishimura ◽  
Michiyuki Kawakami ◽  
Shizuko Kosugi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Physical Therapy ◽  
Successful Treatment ◽  
Spinal Cord Stimulation

scholarly journals Magnetic Resonance Imaging of the Lumbar Spine in a Patient with a Spinal Cord Stimulator

2013 ◽  
Vol 3;16 (3;5) ◽  
pp. E295-E300
Author(s):  
Thomas T. Simopoulos
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Case Report ◽  
Lumbar Spine ◽  
Magnetic Resonance ◽  
Adverse Events ◽  
Spinal Cord Stimulation ◽  
Spinal Cord Stimulator ◽  
Resonance Imaging ◽  
Lumbar Mri

Background: The use of magnetic resonance imaging (MRI) is continuously escalating for the evaluation of patients with persistent pain following lumbar spine surgery (LSS). Spinal cord stimulation (SCS) therapy is being clinically applied much more commonly for the management of chronic pain following LSS. There is an increased probability that these 2 incompatible modalities may be accidentally used in the same patient. Objectives: The purpose of this case report is to: (1) summarize a case in which a patient with a thoracic spinal cord stimulator underwent a diagnostic lumbar MRI, (2) describe the 3 magnetic fields used to generate images and their interactions with SCS devices, and (3) summarize the present literature. Study design: Case report. Setting: University hospital. Results: Aside from mild heat sensations in the generator/pocket site and very low intensity shocking sensations in the back while in the MRI scanner, the patient emerged from the study with no clinically detected adverse events. Subsequent activation of the SCS device would result in a brief intense shocking sensation. This persisted whenever the device was activated and required Implantable Pulse Generator (IPG) replacement. Electrical analysis revealed that some of the output circuitry switches, which regulate IPG stimulation and capacitor charge balancing, were damaged, most likely by MRI radiofrequency injected current. Limitations: Single case of a patient with a thoracic SCS having a lumbar MRI study. Conclusion: This case demonstrates the lack of compatibility of lumbar MRI and the Precision SCS system as well as one of the possible patient adverse events that can occur when patients are exposed to MRI outside of the approved device labeling. Key words: Spinal cord stimulation devices, magnetic resonance imaging

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