一过性右偏瘫和复视在设置迁移颈脊髓刺激器引线:1例报告。

IF 0.5

A&A Practice Pub Date : 2023-04-01 DOI:10.1213/XAA.0000000000001674

Florin M Orza, Taylor D Catalano, Daniela Orza

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引用次数: 0

摘要

一位36岁男性，有颈椎脊髓刺激器(SCS)引线放置史，在咳嗽发作后2天出现一过性右侧偏瘫和复视。影像学显示患者的一个SCS导联有侧移和颅移。SCS失活导致他的非运动症状迅速改善，但没有解决他的运动缺陷。通过手术移植SCS系统，患者的运动症状得以缓解。该患者独特的神经症状是先前未描述的SCS放置和铅迁移的并发症。

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Transient Right-Sided Hemiparesis and Diplopia in the Setting of a Migrated Cervical Spinal Cord Stimulator Lead: A Case Report.

A 36-year-old man with a history of cervical spinal cord stimulator (SCS) lead placement presented with transient right-sided hemiparesis and diplopia that began 2 days after a coughing episode. Imaging revealed lateral and cranial migration of one of the patient's SCS leads. Deactivation of the SCS resulted in rapid improvement of his nonmotor symptoms but did not resolve his motor deficits. The SCS system was surgically explanted, resulting in resolution of the patient's motor symptoms. The unique neurologic symptomatology demonstrated by this patient is a previously undescribed complication of SCS placement and lead migration.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.