Acta Neurochirurgica

, Volume 160, Issue 3, pp 639–643 | Cite as

Bipolar dual-lead spinal cord stimulation between two electrodes on the ventral and dorsal sides of the spinal cord: consideration of putative mechanisms

  • Mitsuru Watanabe
  • Takamitsu Yamamoto
  • Chikashi Fukaya
  • Toshiki Obuchi
  • Toshikazu Kano
  • Kazutaka Kobayashi
  • Hideki Oshima
  • Atsuo Yoshino
Case Report - Functional
  • 64 Downloads

Abstract

We have applied bipolar dual-lead spinal cord stimulation (SCS) between two cylinder-type electrodes placed on the ventral and dorsal sides of the spinal cord (dual-VD-SCS). A 36-year-old man suffered from burning pain from his right elbow down to his hand after brachial plexus avulsion. The areas with paresthesia induced by conventional SCS did not include the painful hand area. However, dual-VD-SCS completely induced paresthesia in the painful hand area. We speculate that dual-VD-SCS can be applied to stimulate deeper sites of the dorsal column and dorsal horn than conventional SCS and is useful for pain reduction.

Keywords

Spinal cord stimulation Neuropathic pain Brachial plexus avulsion Dual-lead SCS 

Notes

Acknowledgements

This work was funded by a Grant-in-Aid for Scientific Research (C-15 K10375) from the Ministry of Education, Culture, Sports, Science and Technology (MEXT) of Japan.

Compliance with ethical standards

Conflict of interest

None.

Ethics approval

This study was approved by the Ethics committee of Nihon University Hospital. Informed consent was obtained from the patient and his family. Additional informed consent was obtained from the patient for whom identifying information is included in this article.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  • Mitsuru Watanabe
    • 1
  • Takamitsu Yamamoto
    • 1
  • Chikashi Fukaya
    • 1
  • Toshiki Obuchi
    • 1
  • Toshikazu Kano
    • 1
  • Kazutaka Kobayashi
    • 1
  • Hideki Oshima
    • 1
  • Atsuo Yoshino
    • 1
  1. 1.Department of Neurological SurgeryNihon University School of MedicineTokyoJapan

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