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Spinal cord stimulators and radiotherapy: first case report and practice guidelines.
- Source :
-
Radiation oncology (London, England) [Radiat Oncol] 2011 Oct 25; Vol. 6, pp. 143. Date of Electronic Publication: 2011 Oct 25. - Publication Year :
- 2011
-
Abstract
- Spinal cord stimulators (SCS) are a well-recognised treatment modality in the management of a number of chronic neuropathic pain conditions, particularly failed back syndrome and radiculopathies. The implantable pulse generator (IPG) component of the SCS is designed and operates in a similar fashion to that of a cardiac pacemaker. The IPG consists of an electrical generator, lithium battery, transmitter/receiver and a minicomputer. When stimulated, it generates pulsed electrical signals which stimulate the dorsal columns of the spinal cord, thus alleviating pain. Analogous to a cardiac pacemaker, it can be potentially damaged by ionising radiation from a linear accelerator, in patients undergoing radiotherapy. Herein we report our clinical management of the first reported case of a patient requiring adjuvant breast radiotherapy who had a SCS in situ. We also provide useful practical recommendations on the management of this scenario within a radiation oncology department.
- Subjects :
- Back Pain complications
Back Pain therapy
Combined Modality Therapy
Electrodes, Implanted
Female
Humans
Intervertebral Disc Displacement surgery
Lumbosacral Region
Mastectomy
Middle Aged
Neoplasm Grading
Neoplasm Staging
Neuralgia complications
Neuralgia therapy
Radiotherapy Planning, Computer-Assisted
Spinal Cord physiopathology
Spinal Fusion
Breast Neoplasms radiotherapy
Carcinoma in Situ radiotherapy
Carcinoma, Ductal, Breast radiotherapy
Electric Stimulation Therapy instrumentation
Radiotherapy, Adjuvant methods
Subjects
Details
- Language :
- English
- ISSN :
- 1748-717X
- Volume :
- 6
- Database :
- MEDLINE
- Journal :
- Radiation oncology (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 22024340
- Full Text :
- https://doi.org/10.1186/1748-717X-6-143