Successful spinal anaesthesia for caesarean section in a patient with a dorsal root ganglion stimulation implant: A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2024-10-09 DOI:10.1016/j.crwh.2024.e00652
Daniël P.C. van der Spek , Caroline D. van der Marel , Cecile C. de Vos , Frank J.P.M. Huygen , Maaike Dirckx
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Abstract

Neurostimulation, for example dorsal root ganglion stimulation (DRGS), is increasingly used for managing chronic pain, including among women of reproductive age. We present the case of a 33-year-old patient with complex regional pain syndrome (CRPS) implanted with DRGS who subsequently became pregnant twice. Both pregnancies resulted in the delivery of healthy newborns via caesarean section under successful spinal anaesthesia, with no (device) complications. This case highlights the special considerations for managing pregnant patients with neurostimulation implants, including the differences between DRGS implants and other neurostimulators in the context of neuraxial anaesthesia and the continued use of neurostimulation during pregnancy.
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为一名植入背根神经节刺激物的患者成功实施剖腹产脊髓麻醉:病例报告
神经刺激,例如背根神经节刺激(DRGS),越来越多地被用于治疗慢性疼痛,包括育龄妇女。我们介绍了一例 33 岁的复杂性区域疼痛综合征(CRPS)患者的病例,该患者植入 DRGS 后两次怀孕。两次妊娠均在成功的脊髓麻醉下通过剖腹产顺利产下健康的新生儿,未出现(设备)并发症。本病例强调了管理植入神经刺激装置的妊娠期患者的特殊注意事项,包括 DRGS 植入物与其他神经刺激器在神经轴麻醉方面的差异,以及在妊娠期继续使用神经刺激装置的问题。
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来源期刊
Case Reports in Women's Health
Case Reports in Women's Health Medicine-Obstetrics and Gynecology
CiteScore
2.10
自引率
0.00%
发文量
89
审稿时长
7 days
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