2017•PM&RRequires access

Cephalad Lead Migration During a Spinal Cord Stimulation Trial: A Case Presentation

Ogoegbunam Agubuzu, William Jeremy Beckworth

Abstract

Spinal cord stimulation is used in the treatment of a variety of pain conditions. Lead migration is among the most common complications associated with spinal cord stimulation. Although there have been reports of caudal lead migration, there have been no reports of significant cephalad lead migration during a spinal cord stimulation trial. Here we report what is potentially the first case of significant cephalad lead migration (from the initial T8 position to C2) during a spinal cord stimulation trial. This case demonstrates that significant lead migration is possible, and this case highlights the importance of adequately securing leads during a trial. LEVEL OF EVIDENCE: V.

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Key concepts: Medicine, Spinal cord stimulation, Stimulation, Spinal cord, Lead (geology), Presentation (obstetrics), Case presentation, Anesthesia