经皮脊髓刺激器取出后脑脊液漏1例报告

Ryan Huy Nguyen, MD, Andrew Nguyen, MD, Talin Evazyan, MD
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引用次数: 0

摘要

背景:虽然脊髓刺激(SCS)是一种安全有效的治疗慢性疼痛的方法,但由于并发症或疼痛控制不充分,一些患者需要取出他们的装置。近年来,SCS植入率稳步上升;然而,经皮铅提取术的并发症在科学文献中并没有得到充分的记载。病例报告:我们提出一个86岁的病人在我们的机构谁开发术中脑脊液(CSF)泄漏在SCS移植。保守地处理泄漏,严密的手术关闭和放置腹部粘合剂。患者对手术的耐受性良好,仅出现轻微头痛,头痛自行消退。结论:术中非故意硬脑膜撕裂可引起脊髓液漏,虽然少见。虽然大多数脑脊液泄漏可以保守处理,不需要手术修复,但疼痛医生需要充分了解如何处理在SCS外植过程中发生的脑脊液泄漏。关键词:病例报告,脑脊液漏,慢性疼痛,外植体,脊髓刺激
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebrospinal Fluid Leak Following Explantation of Percutaneous Spinal Cord Stimulator Device: A Case Report
BACKGROUND: While spinal cord stimulation (SCS) is a safe and effective treatment for chronic pain, some patients require explantation of their devices due to complications or inadequate pain control. The rate of SCS implantation has steadily increased over the years; however, the complications of percutaneous lead extraction have not been well-documented in the scientific literature. CASE REPORT: We present an 86-year-old patient at our institution who developed an intraoperative cerebrospinal fluid (CSF) leak during SCS explantation. The leak was conservatively managed with tight surgical closure and placement of an abdominal binder. The patient tolerated the procedure well and only developed a minor headache which self-resolved. CONCLUSION: Although rare, SCS lead extraction can cause CSF leakage from unintentional intraoperative dural tear. While most CSF leaks can be managed conservatively and do not require surgical repair, pain physicians need to be well-informed on how to manage CSF leaks that occur during SCS explantation. KEY WORDS: Case report, cerebrospinal fluid leak, chronic pain, explantation, spinal cord stimulation
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