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Spinal cord stimulator scar6/11/2023 ![]() As severe adhesion between the dura and lamina was caused by scar tissue, we also removed it from the dura microscopically. Magnetic resonance imaging (MRI) revealed spinal cord compression ( Figure 2a), and he was treated with cervical unilateral open-door laminoplasty from C3 to C6 on. His neurological symptoms were unchanged even after surgical removal of the electrode on 15 March 2005. We discussed the option of decompression surgery or electrode-removal alone with the patient, and he chose the latter. We considered whether spontaneous resorption of the epidural mass after removal of the electrode might be possible. CT scan with myelography revealed severe spinal cord compression from C1 to C5 by an epidural soft tissue mass ( Figure 1b). Neurological examination revealed spastic quadriparesis with exaggerated deep tendon reflex in his lower extremities. Although a brain CT revealed no changes, he was referred to our department. On 2 March 2005 (5 years after electrode implantation for SCS), he had difficulty using chopsticks and walking. Following a 7-day trial that showed SCS was beneficial in controlling his symptoms, the pulse generator was implanted. An electrode (Medtrotonic Inc., Minneapolis, MN, USA) was positioned in the epidural space through the C4/5 interlamina space. On 21 September 2000, under general anesthesia, SCS was performed. A computed tomography (CT) scan with myelography confirmed that there was no compression on the spinal cord ( Figure 1a). ![]() The pain remained refractory to a comprehensive pain management plan. A 42-year-old man presented with a 7-year history of left arm pain secondary to a brachial plexus injury. ![]()
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