Neuromodulation : journal of the International Neuromodulation Society
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The goal of the study was to assess the efficacy of interaction between spinal cord stimulation (SCS) and peripheral nerve field stimulation (PNFS) and to evaluate a new spinal-peripheral neuromodulation method for low back pain. ⋯ Simultaneous use of SCS and PNFS increase efficacy of both methods for axial back pain. The new SPN method showed great potential in providing coverage for back pain.
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Spinal cord stimulator (SCS) infections are common (2.5-13%) and may cause harm. It is unclear if a screening trial with definitive leads presents an increased infection risk. ⋯ Our infection rate (4.8%) compared favorably with our previous survey (7.5%). The reduced number of SCS infections is likely to be due to: strict asepsis, double layer hydrocolloid dressing during the trial, prophylactic antibiotics, operator experience, and patient education. Two-stage procedures with extended trials do not seem to increase the incidence of SCS infections.
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Case Reports
The use of laminectomy for the placement of a percutaneous spinal cord stimulation electrode.
The placement of a percutaneous electrode for trial stimulation to evaluate the effectiveness of spinal cord stimulation can be impossible because of epidural adhesions from previous spinal surgeries. The authors would like to describe a combination of techniques in order to place a percutaneous lead for a test phase. ⋯ This case demonstrates the possibility to use a combination of an open and percutaneous technique for trial spinal cord stimulation in patients with prior operations in the target area of stimulation.
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Case Reports
Abdominal angina due to obstruction of mesenteric artery treated with spinal cord stimulation: a clinical case.
Abdominal angina occurs in patients affected by mesenteric artery obstruction, causing postprandial episodes of visceral pain. The conventional treatment consists of vessels revascularization, but sometimes this is not applicable. ⋯ Spinal cord stimulation may be considered for abdominal angina, although there is still no evidence provided by controlled studies.
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Case Reports
Bilateral subdural hematoma following implantation of intrathecal drug delivery device.
To report a case of bilateral subacute subdural hematoma following implantation of intrathecal drug delivery device. ⋯ Medical and nursing staff dealing with intrathecal therapy should be aware of this potentially severe complication.