Shabaaz M Baig, Adejuyigbe Adaralegbe, Sangel Gomez, Tabhata Paulet, Carol Apai, Mia Castiglione, Adejimi Adaralegbe, Akwasi Amponsah
{"title":"Spinal Cord Stimulator Implantation in a Patient With Diffuse Idiopathic Skeletal Hyperostosis: Case Report.","authors":"Shabaaz M Baig, Adejuyigbe Adaralegbe, Sangel Gomez, Tabhata Paulet, Carol Apai, Mia Castiglione, Adejimi Adaralegbe, Akwasi Amponsah","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory skeletal disorder causing calcifications and ossification of ligaments and tendons. We present a patient with undiagnosed DISH in whom a spinal cord stimulator (SCS) provided adequate pain relief while the disease progressed to become debilitating.</p><p><strong>Case report: </strong>The patient is a 66-year-old woman with an SCS placed for lower back pain due to degenerative changes. The patient presented to the emergency department with progressive right-sided lower extremity weakness and a 3-day history of urinary incontinence. Computed tomography showed new osteophytes consistent with DISH throughout the thoracic spine to the level of T10-T11.</p><p><strong>Conclusions: </strong>Our aim with this case report is to demonstrate the importance of preoperative imaging as well as follow-up imaging to evaluate the progression of DISH and having an extensive conversation with patients about whether an SCS is the right choice to manage their pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"85-87"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory skeletal disorder causing calcifications and ossification of ligaments and tendons. We present a patient with undiagnosed DISH in whom a spinal cord stimulator (SCS) provided adequate pain relief while the disease progressed to become debilitating.
Case report: The patient is a 66-year-old woman with an SCS placed for lower back pain due to degenerative changes. The patient presented to the emergency department with progressive right-sided lower extremity weakness and a 3-day history of urinary incontinence. Computed tomography showed new osteophytes consistent with DISH throughout the thoracic spine to the level of T10-T11.
Conclusions: Our aim with this case report is to demonstrate the importance of preoperative imaging as well as follow-up imaging to evaluate the progression of DISH and having an extensive conversation with patients about whether an SCS is the right choice to manage their pain.
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