• Spinal cord · Aug 2010

    Case Reports

    Late onset cervical myelopathy secondary to fibrous scar tissue formation around the spinal cord stimulation electrode.

    • E Wada and H Kawai.
    • Department of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, Osaka, Japan. weijiw1961@kjc.biglobe.ne.jp
    • Spinal Cord. 2010 Aug 1;48(8):646-8.

    Study DesignCase report.ObjectivesTo report the late onset of cervical myelopathy secondary to fibrous scar tissue formation around an epidural electrode implanted for spinal cord stimulation (SCS).SettingDepartment of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, Osaka, Japan.Method And ResultsA 49-year-old man who had an electrode implanted for SCS 5 years ago was referred to our department on 2 March 2005, complaining of difficulty using chopsticks and walking. A computed tomography scan with myelography revealed severe spinal cord compression around the epidural electrode. Surgical removal of the electrode was not effective. Removal of fibrous scar tissue during a second surgery significantly improved his neurological symptoms.ConclusionLate onset cervical myelopathy secondary to fibrous scar tissue formation around the epidural electrode should be considered a possible event associated with SCS therapy.

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