Bipolar Lumbar Radiofrequency Medial Branch Neurotomy in a Patient with Deep Brain Stimulation Implant.
Gregor A BaraAbdallah SalemdawodMartin VychopenShaleen RanaHartmut VatterJaroslaw MaciaczykJasmin ScorzinMohammed BanatPublished in: Journal of neurological surgery. Part A, Central European neurosurgery (2022)
Chronic axial lower back pain is one of the most common conditions that patients seek medical attention for in pain practices. About 15 to 40% of axial lower back pain is due to facet-mediated pain. Diagnostic blocks of the medial branch reliably identify the facet joint as the pain generator and offer a prognostic factor for response to radiofrequency neurotomy of the identified facet joints resulting in profound pain relief. However, deep brain stimulation implants have been considered a contraindication for neurotomy. We present an illustrative case of a patient with deep brain stimulation system treated with bipolar medial branch neurotomy using a two-needle technique.
Keyphrases
- deep brain stimulation
- parkinson disease
- chronic pain
- prognostic factors
- obsessive compulsive disorder
- pain management
- neuropathic pain
- healthcare
- end stage renal disease
- newly diagnosed
- ultrasound guided
- bipolar disorder
- primary care
- case report
- chronic kidney disease
- ejection fraction
- spinal cord
- spinal cord injury
- minimally invasive
- postoperative pain
- peritoneal dialysis