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Case Report
A Case of Lead Migration Caused by Involuntary Movement in Implanted Spinal Cord Stimulation
Ju-Deok Kim, Jeong-Gil Lee, Sang-Su Kim, Hye-Young Shin
Kosin Medical Journal 2014;29(1):69-73.
DOI: https://doi.org/10.7180/kmj.2014.29.1.69
Published online: December 17, 2014

Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, Busan, Korea

Corresponding Author: Ju-Deok Kim, Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, 34 Amnamdong, Seo-gu, Busan, 602-702, Korea TEL: +82-51-990-6283 FAX: +82-51-254-2504 E-mail: uamyfriends@hanmail.net
• Received: July 1, 2013   • Revised: October 4, 2013   • Accepted: October 16, 2013

Copyright © 2014 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Spinal cord stimulation (SCS) is a reliable clinical option for treatment of refractory chronic pain. It is known to be effective method for treating sympathetic pain, failed back surgery syndrome, and complex regional pain syndrome etc. The devices and implantation techniques for SCS are already highly developed and continuously improving, but there are some complications that can not be corrected easily. Lead migration is the most common complication after SCS. It can cause failure of SCS that can make discomfort to patients. Here we describe our experience of lead migration in implanted SCS which was inserted to a patient with complex regional pain syndrome patient.
Fig. 1.
The end of octapolar lead locates at the middle of the body of the 12th thoracic vertebrae.
kmj-29-69f1.jpg
Fig. 2.
The octapolar lead is migrated from 12th thoracic vertebrae to the lower margine of the 1st lumbar vertebrae (A) and 7th, 8th leads are got out of the epidural space (B).
kmj-29-69f2.jpg
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        A Case of Lead Migration Caused by Involuntary Movement in Implanted Spinal Cord Stimulation
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