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- Title
Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator.
- Authors
Eun-Ji Choi; Hyun-Su Ri; Hyeonsoo Park; Hye-Jin Kim; Ji-Uk Yoon; Gyeong-Jo Byeon
- Abstract
Background: Despite significant technological advances in the implantable pulse generator (IPG), complications can still occur. We report a case that unexpected extrusion of the IPG of spinal cord stimulation (SCS) was promptly identified and successfully removed without any complications. Case: After a car accident 4 years ago, a 55-year-old male who was diagnosed with complex local pain syndrome in his right leg. The SCS was inserted with 2 leads, with the IPG being implanted in the right lower abdomen region. Four years later, he developed extrusion of the IPG from his abdominal region. This unexpected extrusion may have been related to pressure necrosis caused by continued compression of pocket site where a belt was frequently tied. The IPG and the leads were successfully removed without infection occurring. Conclusions: To prevent unexpected extrusion of IPG, it is necessary to consider in advance whether the pocket site is pressed against the belt.
- Subjects
COMPLEX regional pain syndromes; SPINAL cord; PULSE generators; OLDER men; NECROSIS; PAIN diagnosis
- Publication
Anesthesia & Pain Medicine, 2021, Vol 16, Issue 1, p103
- ISSN
1975-5171
- Publication type
Case Study
- DOI
10.17085/apm.20054