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Area of Science:

  • Neurology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Sacral nerve stimulation (SNS) is a treatment for fecal incontinence.
  • Neurologic injury is a rare complication of SNS.
  • Infection is a potential cause of neurologic damage following SNS.

Observation:

  • A case report details a patient with Crohn's disease and fecal incontinence who developed a wound infection after SNS implantation.
  • The infection led to device explantation and subsequent epidural infection.
  • The patient experienced leg pain and weakness, indicative of neurologic deficits.

Findings:

  • The patient underwent urgent evaluation and treatment for epidural infection.
  • Despite treatment, the patient had persistent neurologic deficits six months post-infection.
  • This case highlights the potential for severe neurologic sequelae from infection after SNS.

Implications:

  • Clinicians should consider epidural infection in patients presenting with fever, leg pain, and neurologic deficits post-SNS.
  • Early recognition and management of infection are critical to mitigate neurologic damage.
  • This underscores the importance of vigilance for infectious complications following neuromodulation procedures.