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

INTRODUCTION: 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...

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Autores principales: Moens, Maarten, De Smedt, Ann, D'Haese, Jan, Droogmans, Steven, Chaskis, Cristo
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843712/
https://www.ncbi.nlm.nih.gov/pubmed/20184768
http://dx.doi.org/10.1186/1752-1947-4-74
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author Moens, Maarten
De Smedt, Ann
D'Haese, Jan
Droogmans, Steven
Chaskis, Cristo
author_facet Moens, Maarten
De Smedt, Ann
D'Haese, Jan
Droogmans, Steven
Chaskis, Cristo
author_sort Moens, Maarten
collection PubMed
description INTRODUCTION: 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. CASE PRESENTATION: 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. CONCLUSION: The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome.
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spelling pubmed-28437122010-03-23 Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report Moens, Maarten De Smedt, Ann D'Haese, Jan Droogmans, Steven Chaskis, Cristo J Med Case Reports Case report INTRODUCTION: 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. CASE PRESENTATION: 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. CONCLUSION: The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome. BioMed Central 2010-02-25 /pmc/articles/PMC2843712/ /pubmed/20184768 http://dx.doi.org/10.1186/1752-1947-4-74 Text en Copyright ©2010 Moens et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Moens, Maarten
De Smedt, Ann
D'Haese, Jan
Droogmans, Steven
Chaskis, Cristo
Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report
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
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843712/
https://www.ncbi.nlm.nih.gov/pubmed/20184768
http://dx.doi.org/10.1186/1752-1947-4-74
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