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Case Report

Int J Pain 2018; 9(1): 46-49

Published online December 31, 2018

Copyright © The Korean Association for the Study of Pain.

A Case of Allergic Cutaneous Reaction to Spinal Cord Stimulator Lead

Hyuk Soo Chang1, Sook Young Lee1, Ji Eun Kim1, Ho Young Gil1, Sunok Kim1, Seryeon Lee1, Hae Won Jeong1, Hyungbae Park1, A Ram Lee1, Saemi Bae2, Jae Hyung Kim2, Jong Bum Choi1

1Deparment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, 2Department of Anesthesiology and Pain Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea

Correspondence to:Jong Bum Choi

Abstract

Spinal cord stimulation has been used since the 1960s to treat chronic consistent refractory pain such as failed back surgery syndrome and complex regional pain syndrome. The purpose of this paper is to describe a rare case of cutaneous reaction to spinal cord stimulator device component. A 42-year-old man diagnosed of complex regional pain syndrome affecting the right upper extremity underwent implantation of spinal cord stimulator device. The patient developed erythematous plaque and pruritis on right flank area on postoperative day 21. The erythematous rash was localized along the lead, and the anchoring site and the implantable pulse generator site were not involved. Dexamethasone was intravenously administered, and topical steroid was applied. Dexamethasone was changed to oral steroid and was stopped after tapering for 14 days. Some cases of allergic reaction of spinal cord stimulator devices could be controlled by medical treatment like corticosteroid.

Keywordscomplex regional pain syndromes, hypersensitivity, spinal cord stimulation.

The Korean Association for the Study of Pain

Vol.15 No.1
June 2024

pISSN 2233-4793
eISSN 2233-4807

Frequency: Semi-Annual

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