alexa Prolonged Severe Abdominal Pain Following Spinal Cord S
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Prolonged Severe Abdominal Pain Following Spinal Cord Stimulator Implantation: A Case Report of Post-Operative Spinal Cord Stimulator Thoracic Radiculopathy

Stanley Ikezi1, Scott Brancolini2* and Scott Brancolini3

1Department of Anesthesiology, University of Pittsburgh Medical Center, USA

2Division of Pain Medicine, University of Pittsburgh Medical Center, USA

3Department of Neurosurgery, University of Pittsburgh Medical Center, USA

*Corresponding Author:
Scott Brancolini
Division of Pain Medicine
University of Pittsburgh Medical Center
200 Delafield Avenue, Suite 2070
Pittsburgh, PA 15215, USA
Tel: 412-784-5119
Fax: 412-784-5350
E-mail: [email protected]

Received Date: June 02, 2014; Accepted Date: June 21, 2014; Published Date: June 24, 2014

Citation: Ikezi S, Brancolini S, Brancolini S (2014) Prolonged Severe Abdominal Pain Following Spinal Cord Stimulator Implantation: A Case Report of Post- Operative Spinal Cord Stimulator Thoracic Radiculopathy. J Anesth Clin Res 5:414. doi: 10.4172/2155-6148.1000414

Copyright: © 2014 Ikezi S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

The use of neuromodulation, specifically spinal cord stimulator, has gained popularity in the management of chronic pain syndromes. Some indications for spinal cord stimulator placement include chronic pain arising from complex regional pain syndrome (CRPS), neuropathy, and post-laminectomy syndrome. With placement of spinal cord stimulator, there have been poorly described cases of post-operative thoracic radiculopathy as a potential complication. This case report describes a patient with prolonged severe thoracic radiculopathy after undergoing spinal cord stimulator paddle lead placement. The patient is a 52 years old female with a history of worsening low back and leg pain not relieved by conservative measures and back surgeries. She underwent successful percutaneous SCS trial with greater than 80% relief of her symptoms; with subsequent implantation of SCS, paddle lead. In the immediate post-operative period, the patient reported good relief of leg pain with spinal cord stimulator turned on. However, she complained of severe, achy bandlike thoracic and abdominal pain. Of note, there were no intraoperative events. Her pain was minimally relieved with medication management. All laboratory work, abdominal and chest radiographs as well endoscopy was negative. With good relief of leg pain with SCS, she declined removal of the paddle lead. There are a few case studies that have described thoracic radiculopathy after spinal cord stimulator placement. In those cases, pain gradually improved within a short duration; and or after removal of the device. This particular patient had prolonged steady 9-10/10 abdominal pain that was not amenable to conservative treatment. Although a rare phenomenon, it is important to know that persistent abdominal pain can be a result of thoracic neurological injury during SCS lead placement.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords