학술논문

Re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method: case report / セルジンガー法で硬膜外脊髄刺激電極を入れ替えた症例
Document Type
Journal Article
Source
日本ペインクリニック学会誌 / Journal of Japan Society of Pain Clinicians. 2009, 16(1):27
Subject
Seldinger method
complication
damaged electrode
spinal cord stimulation
セルジンガー法
合併症
硬膜外脊髄刺激療法
電極リード断線
Language
Japanese
ISSN
1340-4903
1884-1791
Abstract
We report re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method. A patient had received spinal epidural electrical stimulation. The electrical stimuli covered the painful area; however, the threshold for electrical stimulation increased, suggesting damage of the electrodes. Since adhesion of the epidural space was expected and a new one should be placed at the previous position, it was inserted into the epidural space at the previous position with Seldinger method guided by a Tuohy needle under fluoroscopy. Electrical stimuli via the newly inserted electrode lead covered the painful area. The pain was well controlled. We conclude that re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method can minimize the incision for re-insertion and displacement of the electrode lead.