scholarly journals Treatment of Pain Due to Winged Scapula with Spinal Cord Stimulation: A Case Report

2021 ◽  
pp. 227-230
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Physical Therapy ◽  
Conservative Management ◽  
Spinal Cord Stimulation ◽  
Nerve Repair ◽  
Spinal Cord Stimulator ◽  
Winged Scapula ◽  
Neuronal Mechanisms ◽  
Neurological Insult

BACKGROUND: Winged scapula (WS) is a protrusion of the scapula giving the appearance of a wing and can be due to either a musculoskeletal or neurological insult. Pain associated with WS is multifactorial, including myofascial and neuronal mechanisms, and may be difficult to treat. CASE REPORT: In a case of WS refractory to conservative management with physical therapy and medications and not a candidate for nerve repair, we treated the pain with a spinal cord stimulator. We report significant pain reduction and improvement in function with the procedure. CONCLUSION: This case suggests a role for neuromodulation in WS and requires further investigation. KEY WORDS: Winged scapula, spinal accessory nerve injury, spinal cord stimulation, neuromodulation

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

Management of Pulmonary Emboli During a Spinal Cord Stimulator Trial: A Case Report

2020 ◽  
pp. 51-55
Author(s):  
Varun Rimmalapudi
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Stimulation ◽  
Pulmonary Embolus ◽  
Vena Cava ◽  
Multidisciplinary Care ◽  
Prior History ◽  
Lead Removal ◽  
Pulmonary Emboli ◽  
Spinal Cord Stimulator

Background: Neuromodulation has been used in the management of chronic pain for well over 30 years and is becoming increasingly relevant in the face of the ongoing opioid epidemic. Although this therapy continues to provide pain relief and improvement in function to patients with a wide variety of pathologies, several complications have been described ranging from lead migration to development of a granuloma causing cord compression. Although not described in the literature, a pulmonary embolism can be one of the rare complications of a spinal cord stimulation procedure, and when it happens during the trial period of spinal cord stimulation, it involves significant challenges in the clinical management of anticoagulation in the patient. Case Report: We present a case in which a patient developed bilateral pulmonary emboli (PE) during the trial phase of spinal cord stimulation. The patient did have a prior history of PE, had an inferior vena cava filter in place, and was on anticoagulation, which was held as per the current American Society of Regional Anesthesia guidelines prior to the spinal cord stimulator (SCS) trial. Conclusion: A pulmonary embolus is a possible complication from an SCS trial, especially in patients with preexisting thromboembolic risk factors. Management must involve multidisciplinary care focused on balancing the risks of thrombosis with those from a potential epidural hematoma at the time of lead removal. Key words: Spinal cord stimulation, pulmonary embolus, spinal cord stimulator complications, neuromodulation, venous thromboembolism, SCS trial, VTE, PE

scholarly journals Trial Spinal Cord Stimulator Reimplantation Following Lead Breakage after Third Birth

2010 ◽  
Vol 6;13 (6;12) ◽  
pp. 523-526
Author(s):  
Naozumi Takeshima Naozumi Takeshima
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Stimulation ◽  
Perinatal Period ◽  
Vaginal Birth ◽  
Leg Pain ◽  
Lead Wire ◽  
Spinal Cord Stimulator ◽  
Abdominal Girth ◽  
Epidural Spinal Cord Stimulation

Background: Many studies have reported lead migration and breakage as complications of epidural spinal cord stimulation. In cases where rapid changes in physique such as those caused by pregnancy are expected, it is unclear whether extra consideration regarding possible adjustments and care to avoid complications such as lead breakage are required. Objective: This article presents a case in which spinal cord stimulation was used to manage these complications in a woman during the perinatal period. Design: Case report Setting: Pain management clinic Methods: The patient was a 36-year-old female, approximate weight of 100 pounds, and 5-foot 1 inch in height, whose chief complaint was lower back and bilateral leg pain. The pain could not be alleviated by conservative therapies such as nerve blockade, oral medications with non-steroidal anti-inflammatory drugs, antidepressants, anticonvulsants or physical therapy. A spinal cord stimulator was implanted at another facility, which relieved the pain. The patient subsequently had 2 vaginal births without any problems relating to the stimulation sites, and both infants were healthy. She experienced lead breakage after the third vaginal birth that led to the subsequent reimplantation procedure. Results: The patient had 2 subsequent vaginal births following the initial implantation with no problems related to the stimulation sites, and both infants were healthy. At age 34, following her third vaginal birth, the stimulator became ineffective and was removed. The withdrawn lead wire was found to be broken in 2 places. Limitations: A case report. Conclusion: Pregnancy following implantation of a spinal cord stimulator might result in lead breakage as abdominal girth increases. The present case exemplifies how pregnancy following implantation of a spinal cord stimulator might cause lead breakage as abdominal girth increases. Extra care is required to prevent lead breakage when anchors are fixed. Key words: spinal cord stimulator, reimplantation, lead breakage, pregnancy

scholarly journals Spinal Cord Stimulator for Treating Chemotherapy-induced Peripheral Neuropathy

2021 ◽  
pp. 223-226
Keyword(s):  
Spinal Cord ◽  
Peripheral Neuropathy ◽  
Conservative Management ◽  
Spinal Cord Stimulation ◽  
Spinal Cord Stimulator ◽  
Key Words Spinal Cord ◽  
Adverse Experiences ◽  
Chemotherapy Dose ◽  
Dose Reductions

BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is not only one of the most common adverse experiences of cancer survivors, but it is also one which has the greatest effect on quality of life. Ultimately, CIPN can lead to unwanted modification of treatment such as chemotherapy dose reductions or termination of treatment altogether. CASE REPORT: We present a case of a 47-year-old man with severe bilateral CIPN resistant to conservative management, who was successfully treated with spinal cord stimulation. CONCLUSION: Spinal cord stimulation can be an effective treatment for CIPN resistant to conservative management. KEY WORDS: Spinal cord stimulator, chemotherapy induced neuropathy, peripheral neuropathy

scholarly journals A Fully Implantable Miniaturized Liquid Crystal Polymer (LCP)-Based Spinal Cord Stimulator for Pain Control

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 501
Author(s):  
Seunghyeon Yun ◽  
Chin Su Koh ◽  
Jungmin Seo ◽  
Shinyong Shim ◽  
Minkyung Park ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Electrical Stimulation ◽  
Liquid Crystal ◽  
Mechanical Stimulation ◽  
Spinal Cord Stimulation ◽  
Pulse Generator ◽  
Spinal Cord Stimulator ◽  
Stimulation Threshold ◽  
Crystal Polymer ◽  
Stimulation Of

Spinal cord stimulation is a therapy to treat the severe neuropathic pain by suppressing the pain signal via electrical stimulation of the spinal cord. The conventional metal packaged and battery-operated implantable pulse generator (IPG) produces electrical pulses to stimulate the spinal cord. Despite its stable operation after implantation, the implantation site is limited due to its bulky size and heavy weight. Wireless communications including wireless power charging is also restricted, which is mainly attributed to the electromagnetic shielding of the metal package. To overcome these limitations, here, we developed a fully implantable miniaturized spinal cord stimulator based on a biocompatible liquid crystal polymer (LCP). The fabrication of electrode arrays in the LCP substrate and monolithically encapsulating the circuitries using LCP packaging reduces the weight (0.4 g) and the size (the width, length, and thickness are 25.3, 9.3, and 1.9 mm, respectively). An inductive link was utilized to wirelessly transfer the power and the data to implanted circuitries to generate the stimulus pulse. Prior to implantation of the device, operation of the pulse generator was evaluated, and characteristics of stimulation electrode such as an electrochemical impedance spectroscopy (EIS) were measured. The LCP-based spinal cord stimulator was implanted into the spared nerve injury rat model. The degree of pain suppression upon spinal cord stimulation was assessed via the Von Frey test where the mechanical stimulation threshold was evaluated by monitoring the paw withdrawal responses. With no spinal cord stimulation, the mechanical stimulation threshold was observed as 1.47 ± 0.623 g, whereas the stimulation threshold was increased to 12.7 ± 4.00 g after spinal cord stimulation, confirming the efficacy of pain suppression via electrical stimulation of the spinal cord. This LCP-based spinal cord stimulator opens new avenues for the development of a miniaturized but still effective spinal cord stimulator.

Severe Leg Pain Following Spinal Cord Stimulator Implantation – A Case Report

PM&R ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 317-321
Author(s):  
Weibin Shi ◽  
Shannon Schultz ◽  
David R. Gater
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Leg Pain ◽  
Spinal Cord Stimulator

Spinal Cord Stimulation in The Treatment of Phantom Limb Pain: A Case Report and Review of Literature

2021 ◽  
Vol 69 (1) ◽  
pp. 157
Author(s):  
Rupesh Raut ◽  
Shahzad Shams ◽  
Muddassar Rasheed ◽  
Azam Niaz ◽  
Waqas Mehdi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Stimulation ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Review Of Literature ◽  
Limb Pain
Sign in / Sign up

Export Citation Format

Share Document