Publish in this journal
Journal Information
Vol. 33. Issue 2.
Pages 90-94 (March - April 2022)
Share
Share
Download PDF
More article options
ePub
Visits
...
Vol. 33. Issue 2.
Pages 90-94 (March - April 2022)
Case Report
Spinal cord stimulation and cauda equina syndrome: Could it be a valid option? A report of two cases
Estimulación medular y síndrome de cauda equina. ¿Podría ser una opción válida? Reporte de dos casos
Visits
...
Fernando J. Rascón-Ramírez
Neurosurgery Department, Hospital Clínico San Carlos, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (2)
Table 1. Assessment of muscle strength.
Table 2. Electrical stimulation parameters used in each patient SCS program.
Show moreShow less
Abstract

Spinal cord stimulation (SCS) consists of the application of electrical stimuli to the dorsal columns of the spinal cord or to the posterior nerve roots in order to modulate the pain signals carried by the ascending pain pathways to the brain. Two cases of SCS in patients with cauda equina syndrome after lumbar surgery are presented. They were treated for persistent neuropathic pain but also experienced improvement in their motor and urinary symptoms after this treatment. Although the primary indication for SCS is neuropathic pain control, its application can also lead to improvement of motor deficits, sensory disorders, and urinary incontinence, as shown in these two cases. SCS will likely play a fundamental role in rehabilitative therapies in different neurological diseases. Further investigation in the field is needed.

Keywords:
Case report
Spinal cord stimulation
Spinal cord injury
Chronic pain
Cauda equina syndrome
Bladder dysfunction
Gait rehabilitation
Neurostimulation
Resumen

La estimulación medular (SCS) consiste en la aplicación de estímulos eléctricos a las columnas dorsales de la médula espinal o a las raíces nerviosas para modular las señales de dolor en su vía ascendente hacia el cerebro. Se presentan dos casos del síndrome de cauda equina, secundario a cirugías lumbares. Estos fueron tratados por dolor neuropático persistente, pero también experimentaron mejoría de sus síntomas motores y urológicos con la SCS. La principal indicación de la SCS es el control del dolor neuropático; sin embargo, su uso también podría mejorar déficits neurológicos, alteraciones de la sensibilidad y la incontinencia urinaria, como se muestra en estos dos casos. La SCS probablemente jugará un rol importante en las terapias rehabilitadoras en algunas enfermedades neurológicas, aunque se necesita más investigación en este campo para estudiar dichos efectos.

Palabras clave:
Reporte de caso
Estimulación medular
Lesión medular
Dolor crónico
Síndrome de cauda equina
Disfunción vesical
Rehabilitación marcha
Neuroestimulación

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?