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Allergic reaction to spinal cord stimulator
T D Ochani1, J Almirante, A Siddiqui
1Anesthesiology Pain Management Program, Montefiore Medical Center, Bronx, New York 10467, USA. tochani@aol.com
The Clinical Journal of Pain
|June 28, 2000
Summary
Patients may experience allergic reactions to spinal cord stimulator components. Early recognition and diagnosis via patch testing are crucial for appropriate management and treatment, which may involve device removal.
Area of Science:
- Neurology
- Allergy and Immunology
- Pain Management
Background:
- Spinal cord stimulators (SCS) are utilized for chronic pain management.
- Complex regional pain syndrome type 1 (CRPS-1) is a debilitating condition often managed with SCS.
Observation:
- A severe allergic reaction occurred post-spinal cord stimulator insertion in a CRPS-1 patient.
- The patient presented with symptoms potentially misdiagnosed as infection.
Findings:
- Allergic reactions to SCS components are possible.
- Adequate pain control was achieved but complicated by the allergic reaction.
Implications:
- Physicians must recognize contact sensitivity to SCS materials.
- Prompt diagnosis via patch testing prevents misdiagnosis and delayed treatment.
- Device removal may be necessary for managing allergic reactions.