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脊髓刺激器故障由射频神经消融引起——病例报告。

Spinal cord stimulator malfunction caused by radiofrequency neuroablation -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S226-8. doi: 10.4097/kjae.2010.59.S.S226. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S226
PMID:21286447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030043/
Abstract

The implantation of spinal cord stimulators (SCSs) to treat chronic intractable pain is steadily increasing. And there is an increased likelihood of instances where other therapies or procedures are found to interfere with SCS function, which in turn may result in pain. Since SCS utilize electric impulses as well as magnets, special considerations need for patients with a SCS in situ who require these procedures. The present report describes a case where radiofrequency (RF) ablation of the third occipital nerve resulted in spontaneous activation of a cervical SCS device.

摘要

脊髓刺激器(SCS)的植入术用于治疗慢性难治性疼痛的应用正在稳步增加。在这些病例中,其他治疗或操作会发现与 SCS 功能相互干扰的可能性增加,而这反过来又可能导致疼痛。由于 SCS 利用电脉冲和磁场,因此对于那些需要这些程序且体内带有 SCS 的患者,需要特别考虑。本报告描述了一例第三枕神经射频消融术导致颈 SCS 装置自发激活的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bca/3030043/b99269d5f278/kjae-59-S226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bca/3030043/b99269d5f278/kjae-59-S226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bca/3030043/b99269d5f278/kjae-59-S226-g001.jpg

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本文引用的文献

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Magnetic resonance imaging in patients with spinal neurostimulation systems.脊髓神经刺激系统患者的磁共振成像
Anesthesiology. 2007 Apr;106(4):779-86. doi: 10.1097/01.anes.0000264776.17533.06.
2
Neuromodulation of the cervical spinal cord in the treatment of chronic intractable neck and upper extremity pain: a case series and review of the literature.颈脊髓神经调节治疗慢性顽固性颈部和上肢疼痛:病例系列及文献综述
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Feasibility of spinal cord stimulation in a patient with a cardiac pacemaker.
心脏起搏器患者脊髓刺激的可行性。
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In vitro assessment of tissue heating near metallic medical implants by exposure to pulsed radio frequency diathermy.通过暴露于脉冲射频透热疗法对金属医疗植入物附近组织加热的体外评估。
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8
Efficacy and safety of permanent cardiac DDD pacing with contemporaneous double spinal cord stimulation.永久性心脏DDD起搏联合同期双脊髓刺激的疗效与安全性。
Pacing Clin Electrophysiol. 1998 Feb;21(2):465-7. doi: 10.1111/j.1540-8159.1998.tb00074.x.
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Functional magnetic resonance imaging: a potential tool for the evaluation of spinal cord stimulation: technical case report.功能磁共振成像:评估脊髓刺激的潜在工具:技术病例报告。
Neurosurgery. 1997 Aug;41(2):501-4. doi: 10.1097/00006123-199708000-00042.
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