Kosin Med J.  2014 Jun;29(1):69-73. 10.7180/kmj.2014.29.1.69.

A Case of Lead Migration Caused by Involuntary Movement in Implanted Spinal Cord Stimulation

• Kim JD
• Lee JG
• Kim SS
• Shin HY

• KMID: 1882442
• DOI: http://doi.org/10.7180/kmj.2014.29.1.69

Abstract

Spinal cord stimulation (SCS) is a reliable clinical option for treatment of refractory chronic pain. It is known to be effective method for treating sympathetic pain, failed back surgery syndrome, and complex regional pain syndrome etc. The devices and implantation techniques for SCS are already highly developed and continuously improving, but there are some complications that can not be corrected easily. Lead migration is the most common complication after SCS. It can cause failure of SCS that can make discomfort to patients. Here we describe our experience of lead migration in implanted SCS which was inserted to a patient with complex regional pain syndrome patient.

Keyword

CRPS; Lead migration; Spinal cord stimulation

MeSH Terms

Chronic Pain
Dyskinesias*
Failed Back Surgery Syndrome
Humans
Spinal Cord Stimulation*

Figure

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  Fig. 1. The end of octapolar lead locates at the middle of the body of the 12th thoracic vertebrae.

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  Fig. 2. The octapolar lead is migrated from 12th thoracic vertebrae to the lower margine of the 1st lumbar vertebrae (A) and 7th, 8th leads are got out of the epidural space (B).

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