Hidden Risks of Multimodal Neuromodulation: Suspected Intrathecal Baclofen Pump Motor Stall Induced by a Vagus Nerve Stimulator Magnet.

IF 2.3 4区 医学 Q1 REHABILITATION
Priya Sharma, Brigid Deck, Gregor J Dudiak, Weibin Shi, Thiru Annaswamy
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引用次数: 0

Abstract

The increasing use of implantable neuromodulation devices in patients with chronic post-stroke sequelae raises the possibility of unintended device-device interactions. We report a case of recurrent intrathecal baclofen pump motor stalls in a patient with longstanding spasticity following an intracranial hemorrhage, ultimately attributed to magnetic interference from a recently implanted vagus nerve stimulator (VNS) activator magnet. Recognition of this interaction led to prompt resolution and highlights the importance of interdisciplinary awareness and patient education in individuals with multiple implanted neuromodulation systems.

多模态神经调节的潜在风险:迷走神经刺激器磁铁诱导的鞘内巴氯芬泵马达失速。
慢性中风后后遗症患者越来越多地使用植入式神经调节装置,这增加了意外装置-装置相互作用的可能性。我们报告了一例复发性鞘内巴氯芬泵马达失速的病例,该患者在颅内出血后长期痉挛,最终归因于最近植入的迷走神经刺激器(VNS)激活器磁铁的磁干扰。认识到这种相互作用导致了迅速的解决方案,并强调了跨学科意识和患者教育在多个植入神经调节系统的个体中的重要性。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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