Recommencement in the Control of Micturition After Implantation of Spinal Card Stimulator for Intractable Cervical radiculopathy
Alexander E. Yakovlev, MD; Alexander Timchenko, MD; Angela M. Parmentier, APNP • Comprehensive Pain Management of the Fox Valley, SC
820 East Grant Street, Suite 335 • Appleton, Wisconsin, USA
INTRODUCTION
Patients with cervical radicular symptoms have been successfully treated with spinal cord stimulation (SCS) in the past but effect of SCS on different functional incapacitations has to be discovered. We report effective relief of neck and arm pain and resumption of voiding patient with neurogenic bladder.
METHODS
A 66-year-old male with history of intractable cervical radiculopathy and neurogenic bladder as consequence of T11, T12, L1 compression fracture in 1990 failed conservative treatment and multiple injections. The patient used suprapubic catheter for past 22 years. He underwent successful trial of percutaneous placement of two 8-electrode epidural leads (Medtronic Inc., Minneapolis, MN). Epidural access was gained at the T3/T4 interspace with final leads positioned at C3, C4, C5 and C6 (Figure 1). During SCS trial patient reported greater than 90% improvement of the pain in the neck and arms.
Two weeks later in June 2012, he underwent placement of Restore Sensor rechargeable generator.
RESULTS
After final implantation, patient had excellent pain relief of neck and arm pain, and was able to discontinue use of all oral pain medications. In September 2012 the patient reported recovering bladder muscle control. One month later he was able to empty bladder completely and regularly. Patient’s urologist removed suprapubic catheter in October 2012.
CONCLUSIONS
SCS can be an effective option in the management of chronic, intractable pain but may lead to improvement in micturition for patients with neurogenic bladder. The mechanism of action on function of urinary bladder has to be elucidated.
© 2018 Клиника «МЕДЭЛЕКТ»
г. Москва, Спартаковский пер, д.2 стр. 5.
Телефон: (499) 281-61-47