Open AccessSpinal Cord Stimulator Placement in a Patient with Type 2 von Willebrand’s Disease
Author(s) -
Scott Masson
Publication year - 2018
Publication title -
interventional pain management reports
Language(s) - English
Resource type - Journals
ISSN - 2575-9841
DOI - 10.36076/pmcr.2018/2/153
Subject(s) - medicine , spinal cord stimulator , surgery , laminectomy , von willebrand disease , von willebrand factor , hematologist , hematoma , anesthesia , spinal cord , disease , spinal cord stimulation , platelet , psychiatry
We present a case of a 76-year-old female witha history of lumbar post-laminectomy pain syndromeand Type II von Willebrand’s disease whounderwent successful implantation of a spinalcord stimulator. A consultation with the patient’shematologist was obtained, and antihemophilicfactor/von Willebrand factor complex was administeredimmediately prior to insertion and removalof trial leads. After reporting greater than 90%pain relief, the patient then underwent permanentimplantation with administration of antihemophilicfactor/von Willebrand factor complex priorto placement. The epidural space was enteredatraumatically, and lead placement was uneventfulwith minimal resistance met. Leads were tunneledto her right gluteal region, where a pocket wascreated for her generator. She continues to reportgood relief without neurological signs of epiduralhematoma nearly 6 months post-procedure.Key words: von Willebrand disease, high-frequencyspinal cord stimulator, post-laminectomypain syndrome