Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report

<p>Abstract</p> <p>Introduction</p> <p>The spinal cord is a target for many neurosurgical procedures used to treat chronic severe pain. Neuromodulation and neuroablation are surgical techniques based on well-known specific anatomical structures. However, anatomical and...

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Main Authors: Droogmans Steven, D'Haese Jan, De Smedt Ann, Moens Maarten, Chaskis Cristo
Format: Article
Language:English
Published: BMC 2010-02-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/4/1/74
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author Droogmans Steven
D'Haese Jan
De Smedt Ann
Moens Maarten
Chaskis Cristo
author_facet Droogmans Steven
D'Haese Jan
De Smedt Ann
Moens Maarten
Chaskis Cristo
author_sort Droogmans Steven
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>The spinal cord is a target for many neurosurgical procedures used to treat chronic severe pain. Neuromodulation and neuroablation are surgical techniques based on well-known specific anatomical structures. However, anatomical and electrophysical changes related to the tethered spinal cord make it more difficult to use these procedures.</p> <p>Case presentation</p> <p>We report the case of a 37-year-old Caucasian woman who had several surgical interventions for tethered cord syndrome. These interventions resulted in severe neuropathic pain in her lower back and right leg. This pain was treated by spinal cord stimulation using intra-operative sensory mapping, which allowed the cord's optimal placement in a more caudal position.</p> <p>Conclusion</p> <p>The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome.</p>
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spelling doaj.art-87ca984453224a87918a39f7f5abfc3f2022-12-22T01:43:00ZengBMCJournal of Medical Case Reports1752-19472010-02-01417410.1186/1752-1947-4-74Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case reportDroogmans StevenD'Haese JanDe Smedt AnnMoens MaartenChaskis Cristo<p>Abstract</p> <p>Introduction</p> <p>The spinal cord is a target for many neurosurgical procedures used to treat chronic severe pain. Neuromodulation and neuroablation are surgical techniques based on well-known specific anatomical structures. However, anatomical and electrophysical changes related to the tethered spinal cord make it more difficult to use these procedures.</p> <p>Case presentation</p> <p>We report the case of a 37-year-old Caucasian woman who had several surgical interventions for tethered cord syndrome. These interventions resulted in severe neuropathic pain in her lower back and right leg. This pain was treated by spinal cord stimulation using intra-operative sensory mapping, which allowed the cord's optimal placement in a more caudal position.</p> <p>Conclusion</p> <p>The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome.</p>http://www.jmedicalcasereports.com/content/4/1/74
spellingShingle Droogmans Steven
D'Haese Jan
De Smedt Ann
Moens Maarten
Chaskis Cristo
Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
Journal of Medical Case Reports
title Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
title_full Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
title_fullStr Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
title_full_unstemmed Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
title_short Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
title_sort spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome a case report
url http://www.jmedicalcasereports.com/content/4/1/74
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