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Spinal Cord Stimulation in Adult Tethered Cord Syndrome: Case Report and Review of the Literature
- Source :
- World Neurosurgery. 122:278-281
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Spinal cord stimulation (SCS) is an evidence-based treatment for chronic neuropathic pain; however, there is a dearth of evidence investigating this modality in patients with tethered cord syndrome. Case Description We present a case of 55-year-old woman with history of lipo-myelomeningocele repair and multiple detethering surgeries who presented with chronic low back and leg pain accompanied by progressive gait dysfunction. After a successful trial, she underwent SCS paddle lead placement that resulted in decrease of her visual analog scale for pain from 9/10 to 0–2/10 as well as daily opioid intake from 90 to 199 mg morphine-equivalent doses to 40 to 60 mg morphine-equivalent doses. On last follow-up she reported 70%–85% relief of her low back and leg pain, better ambulation, and improved quality of life. Conclusions The literature review identified 2 other case reports of SCS in tethered cord syndrome with similar improvement in pain alleviation.
- Subjects :
- Meningomyelocele
Visual analogue scale
Spinal cord stimulation
03 medical and health sciences
0302 clinical medicine
Quality of life
medicine
Humans
Neural Tube Defects
Tethered Cord
Gait Disorders, Neurologic
Spinal Cord Stimulation
Spina bifida
business.industry
Middle Aged
medicine.disease
Gait
Treatment Outcome
Opioid
030220 oncology & carcinogenesis
Anesthesia
Neuropathic pain
Female
Surgery
Neurology (clinical)
Chronic Pain
business
Low Back Pain
030217 neurology & neurosurgery
medicine.drug
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 122
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....d533f53284dfa8c1f5a40b0068a43df4