Neurosurgery
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A major drawback of currently available spinal cord stimulation (SCS) systems for the management of chronic intractable pain, especially of widespread pain patterns as in reflex sympathetic dystrophy, is the generally limited paresthesia coverage. The aim of this study is to analyze the origin of this problem and to provide solutions. ⋯ Paresthesia coverage and pain management by SCS can be improved when using electrodes as proposed.
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Spinal cord injury is one of several devastating complications after operation in the sitting position. Young patients exhibiting extraordinary growth spurts demonstrate a higher risk for this complication. ⋯ It is assumed that, in addition to head flexion, the abnormal skeletal growth spurt resulting from an excessive secretion of human chorionic gonadotropin from a tumor was a possible predisposing factor for this complication. To prevent this complication, surgeons need to pay great attention to head positioning, especially in a young patient experiencing an active growth spurt.