Técnica de recambio de electrodo percutáneo disfuncional para estimulación medular como tratamiento del dolor crónico refractario en paciente con schwannoma de raíz L2 izquierda: reporte de un caso
Por:
Criollo Muñoz F.H., Hernández Santos J.R., Román Echavarría L.F.
Publicada:
1 ene 2018
Categoría:
Anesthesiology and pain medicine
Resumen:
Introduction: Spinal cord stimulation systems can use percutaneous electrodes or percutaneous (PP) paddles, unlike surgical paddles that require a surgical approach for implantation by laminotomy or laminectomy. To date, there are no reports in the world literature regarding percutaneous withdrawal of dysfunctional (PP). Materials and methods: It is a case report, descriptive and retrospective. Who required implantation of implanted medullary neurostimulator (NEMI) with (PP) for refractory chronic neuropathic pain, who attended with dysfunction and later candidate for replacement of the (PP) with percutaneous technique. Performed in service of Pain Clinic of the National Medical Center "November 20" in September 2016. Results: A 54-year-old female with a diagnosis of Schwannoma of the left L2 root who presented dysfunction of the (PP) of the (NEMI) during an automobile accident. A percutaneous approach is performed in a fluoroscopy room using the Epiducer TM of ST. Jude Medical as a "bridge" for the removal of the dysfunctional (PP) and replacement of the new (PP) without conducting a laminotomy or laminectomy approach. Conclusions: The percutaneous approach to replacement of (PP) is an effective minimally invasive technique, with a lower probability of complications and without the need for laminectomy or laminotomy. © 2018 Ediciones Doyma S.L.. All rights reserved.
Filiaciones:
Criollo Muñoz F.H.:
UNAM, Mexico
Hernández Santos J.R.:
UNAM, Centro Médico Nacional 20 de Noviembre, México, Mexico
Román Echavarría L.F.:
UNAM, Mexico
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