Post-dural Puncture Headache After Removal of Trail Spinal Cord Stimulator Leads: A Case Report
Year: 2022
Type: article
Study design: Case Report
Abstract: Spinal cord stimulators (SCS) have been an invaluable resource in treating chronic pain pathologies such as failed back surgery syndrome, complex regional pain syndrome, neuropathic pain, and leg ischemia. Post-dural puncture headaches (PDPH) are a common phenomenon that happens when the dura is compromised. It has been seen with permanent SCS placement, but less commonly reported with SCS trail leads. We present a case of a patient who developed PDPH symptoms, not after initial trial leads placement but upon their removal. This case not only illustrates that dural compromise can occur when the placement of the leads is correct with confirmatory imaging, but also the leads themselves can contribute to masking the defect.
Source: Cureus
DOI: 10.7759/cureus.29665
Authors: Gurtej Bajaj, Warren A Southerland, Ignacio Badiola, Russell Bell
Institution: University of Pennsylvania
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4297207142