Prolonged Severe Abdominal Pain Following Spinal Cord Stimulator Implantation: A Case Report of Post-Operative Spinal Cord Stimulator Thoracic Radiculopathy
- *Corresponding Author:
- Scott Brancolini
Division of Pain Medicine
University of Pittsburgh Medical Center
200 Delafield Avenue, Suite 2070
Pittsburgh, PA 15215, USA
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.
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.