Pseudomeningocele and percutaneous intrathecal lead placement complication for spinal cord stimulator.
Complication
Intrathecal
Neuromonitoring
Spinal cord
Stimulator
Journal
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
22
05
2018
accepted:
07
10
2018
pubmed:
25
11
2018
medline:
13
2
2019
entrez:
25
11
2018
Statut:
ppublish
Résumé
The incidence of symptomatic percutaneous intrathecal subarachnoid lead placement for spinal cord stimulator is almost an unheard of complication in the literature. We present the first case of a spinal cord stimulator implant with a complication of symptomatic intrathecal subarachnoid lead placement with a pseudomeningocele. This complication was found with myelogram and addressed by replacement with a new spinal cord stimulator implant with paddle leads instead of percutaneous leads and obliterating the pseudomeningocele tract. Technique for epidural lead placement is discussed. This case illustrates a spinal cord stimulator implant complication of intrathecal percutaneous lead placement with pseudomeningocele and its recognition and treatment involving replacement of the system while minimizing risk of postoperative cerebrospinal fluid leakage. Intraoperative neuromonitoring and interrogation of the spinal cord stimulator system during implantation are effective tools for accurate epidural lead placement.
Identifiants
pubmed: 30470653
pii: S0967-5868(18)30910-X
doi: 10.1016/j.jocn.2018.10.045
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
347-349Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.