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http://dx.doi.org/10.3344/kjp.2010.23.4.266

Pregnancy in Woman with Spinal Cord Stimulator for Complex Regional Pain Syndrome: A Case Report and Review of the Literature  

Yoo, Hyung-Seok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Nahm, Francis Sahngun (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Yim, Kyoung-Hoon (Chungbuk National University Hospital)
Moon, Jee-Youn (Kyung Hee University East-West Neo Medical Center)
Kim, Yung-Suk (Kyung Hee University East-West Neo Medical Center)
Lee, Pyung-Bok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Publication Information
The Korean Journal of Pain / v.23, no.4, 2010 , pp. 266-269 More about this Journal
Abstract
Spinal cord stimulation (SCS) is used to manage chronic pain syndromes and it is accepted a cost-effective therapy. Child-bearing women who had SCS become or choose to become pregnant despite these policies pregnancy is a relative contraindication. A 32-year-old woman had SCS as a treatment for the CRPS I of the left lower extremity, During various check up tests, we happen to find out that her serum beta-hCG was positive and confirmed pregnancy. SCS is not recommended in pregnancy because the effects of SCS on pregnancy and nursing mothers had not been confirmed. However, many female patients suffering from chronic pain may expect future pregnancy and we think that they must be informed about the possibility of pregnancy and the effects of SCS device implantation in the course of pregnancy. First of all, a good outcome requires a multidisciplinary team approach, including obstetrics, neonatology, pain medicine and anesthesia, as was used from an early pregnancy. Unfortunately, she had a misabortrion after 6 weeks.
Keywords
labor; pregnancy; spinal cord stimulation;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Saxena A, Eljamel MS. Spinal cord stimulation in the first two trimesters of pregnancy: case report and review of the literature. Neuromodulation 2009; 12: 281-3.   DOI   ScienceOn
2 Martinelli PT, Schulze KE, Nelson BR. Mohs micrographic surgery in a patient with a deep brain stimulator: a review of the literature on implantable electrical devices. Dermatol Surg 2004; 30: 1021-30.   DOI   ScienceOn
3 Siddiqui MA, Khan IA. Differential electrocardiographic artifact from implanted spinal cord stimulator. Int J Cardiol 2003; 87: 307-9.   DOI   ScienceOn
4 Hanson JL, Goodman EJ. Labor epidural placement in a woman with a cervical spinal cord stimulator. Int J Obstet Anesth 2006; 15: 246-9.   DOI   ScienceOn
5 Kubista E. The influence of transcutaneous nerve stimulation (TNS) on hormonal parameters of placental function in cases of placental insufficiency (author's transl). Z Geburtshilfe Perinatol 1981; 185: 151-4.
6 Sommerfield D, Hu P, O'Keeffe D, McKeating AK. Caesarean section in a parturient with a spinal cord stimulator. Int J Obstet Anesth 2010; 19: 114-7.   DOI   ScienceOn
7 Park HJ, Moon DE. Pharmacologic management of chronic pain. Korean J Pain 2010; 23: 99-108.   DOI   ScienceOn
8 Lucas S. Medication use in the treatment of migraine during pregnancy and lactation. Curr Pain Headache Rep 2009; 13: 392-8.   DOI   ScienceOn
9 Arck PC, Rucke M, Rose M, Szekeres-Bartho J, Douglas AJ, Pritsch M, et al. Early risk factors for miscarriage: a prospective cohort study in pregnant women. Reprod Biomed Online 2008; 17: 101-13.   DOI   ScienceOn
10 Davies RG. Deep brain stimulators and anaesthesia. Br J Anaesth 2005; 95: 424.   DOI   ScienceOn
11 Weaver J, Kim SJ, Lee MH, Torres A. Cutaneous electrosurgery in a patient with a deep brain stimulator. Dermatol Surg 1999; 25: 415-7.   DOI   ScienceOn
12 North R, Shipley J, Prager J, Barolat G, Barulich M, Bedder M, et al. Practice parameters for the use of spinal cord stimulation in the treatment of chronic neuropathic pain. Pain Med 2007; 8(Suppl 4): S200-75.   DOI
13 Manchikanti L, Datta S, Gupta S, Munglani R, Bryce DA, Ward SP, et al. A critical review of the American Pain Society Clinical practice guidelines for interventional techniques: part 2. Therapeutic interventions. Pain Physician 2010; 13: E215-64.
14 Jeon Y, Huh BK. Spinal cord stimulation for chronic pain. Ann Acad Med Singapore 2009; 38: 998-1003.
15 Linderoth B, Foreman RD. Mechanisms of spinal cord stimulation in painful syndromes: role of animal models. Pain Med 2006; 7(Suppl 1): S14-26.   DOI
16 Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain 2007; 132: 179-88.   DOI   ScienceOn
17 Taylor RS. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome: results of a systematic review and meta-analysis. J Pain Symptom Manage 2006; 31(4 Suppl): S13-9.   DOI
18 Segal R. Spinal cord stimulation, conception, pregnancy and labor: case report. Neuromodulation 1999; 2: 41-5.   DOI   ScienceOn