Spinal cord stimulation as a treatment for refractory neuropathic pain in tethered cord syndrome: a case report

Moens, M.; De Smedt, A.; D'Haese, J.; Droogmans, S.; Chaskis, C.

Journal of Medical Case Reports 4: 74


ISSN/ISBN: 1752-1947
PMID: 20184768
DOI: 10.1186/1752-1947-4-74
Accession: 055882254

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The spinal cord is a target for many neurosurgical procedures used to treat chronic severe pain. Neuromodulation and neuroablation are surgical techniques based on well-known specific anatomical structures. However, anatomical and electrophysical changes related to the tethered spinal cord make it more difficult to use these procedures. We report the case of a 37-year-old Caucasian woman who had several surgical interventions for tethered cord syndrome. These interventions resulted in severe neuropathic pain in her lower back and right leg. This pain was treated by spinal cord stimulation using intra-operative sensory mapping, which allowed the cord's optimal placement in a more caudal position. The low-voltage and more caudally placed electrodes are specific features of this treatment of tethered cord syndrome.