Érythème cutané provoqué par une neurostimulation cordonale postérieure : deux observations

Delaplace, M.; Maître, F; Dufour, Thierry; Landrieux, I.; Gauthier, P.; Jebira, P.; Estève, É.

doi:10.1016/j.annder.2010.02.017

Cited by 13 publications

(9 citation statements)

References 9 publications

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“…Allergic or other inflammatory reactions to the components of spinal cord stimulation systems have only rarely been reported 6–8. A search of the literature revealed only one recent detailed case series to our knowledge, ie, a report from France describing two cases of cutaneous eruption related to spinal cord stimulators 6.…”

Section: Discussionmentioning

confidence: 99%

“…A search of the literature revealed only one recent detailed case series to our knowledge, ie, a report from France describing two cases of cutaneous eruption related to spinal cord stimulators 6. The first of these cases was a foreign body type reaction to the silicone component of the neurostimulatory electrodes, with histology of the affected tissue showing a foreign body granuloma formation.…”

Section: Discussionmentioning

confidence: 99%

“…However, the true incidence may be underestimated because clinicians may fail to include it in the differential diagnosis, attributing an inflammatory reaction of the soft tissue surrounding SCS components to infection. In addition, only two articles detail the cutaneous reaction to the components of SCS systems 6,7. The purpose of this paper is to detail the presentation, clinical course, and histologic findings in three patients with cutaneous reactions to spinal cord stimulator equipment components.…”

Section: Introductionmentioning

confidence: 99%

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Detailed analysis of allergic cutaneous reactions to spinal cord stimulator devices

Chaudhry¹,

Najib²,

Bajwa³

et al. 2013

JPR

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The use of spinal cord stimulation (SCS) devices to treat chronic, refractory neuropathic pain continues to expand in application. While device-related complications have been well described, inflammatory reactions to the components of these devices remain underreported. In contrast, hypersensitivity reactions associated with other implanted therapies, such as endovascular and cardiac rhythm devices, have been detailed. The purpose of this case series is to describe the clinical presentation and course of inflammatory reactions as well as the histology of these reactions. All patients required removal of the entire device after developing inflammatory reactions over a time course of 1–3 months. Two patients developed a foreign body reaction in the lead insertion wound as well as at the implantable pulse generator site, with histology positive for giant cells. One patient developed an inflammatory dermatitis on the flank and abdomen that resolved with topical hydrocortisone. “In vivo” testing with a lead extension fragment placed in the buttock resulted in a negative reaction followed by successful reimplantation of an SCS device. Inflammatory reactions to SCS devices can manifest as contact dermatitis, granuloma formation, or foreign body reactions with giant cell formation. Tissue diagnosis is essential, and is helpful to differentiate an inflammatory reaction from infection. The role of skin patch testing for 96 hours may not be suited to detect inflammatory giant cell reactions that manifest several weeks post implantation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Detailed analysis of allergic cutaneous reactions to spinal cord stimulator devices

Chaudhry¹,

Najib²,

Bajwa³

et al. 2013

JPR

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“…They then described negative patch testing on one patient that had a positive skin prick reaction to room temperature vulcanizing (RTV) silicone adhesive, another patient patch test positive to RTV silicone adhesive, and a third patient with unproven but suspected silicone allergy that were all successfully managed with custom-made devices without the known allergen or made from different silicones. Delaplace et al reported burning sensation and cutaneous inflammation that began for months post implantation and resolved with explantation (22). They also described another case with pruriginous erythema over the neurostimulator that was patch test positive for two types of silicone that was successfully managed with topical steroids.…”

Section: Discussionmentioning

confidence: 93%

A Case of an Allergic Reaction to a Spinal Cord Stimulator: Identification of the Antigen With Epicutaneous Patch Testing, Allowing Successful Reimplantation

Taverner

2013

Neuromodulation: Technology at the Neural Interface

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“…Las más habituales son las reacciones de hipersensibilidad, estas pueden manifestarse como dermatitis de contacto, reacciones granulomatosas y reacciones a cuerpos extraños con formación de células gigantes. En estos casos, el estudio histológico será esencial para diferenciar una respuesta infl amatoria de un proceso infeccioso y el tratamiento defi nitivo consistirá en la retirada del sistema (10,11). Sin embargo, hasta la fecha de la revisión, no hay nada publicado sobre la aparición de un pioderma gangrenoso después del implante de un sistema de neuroestimulación medular.…”

Section: Discussionunclassified

Pioderma gangrenoso, complicación infrecuente en la neuroestimulación medular.

Huaranga

Pastrana

Rodríguez

et al. 2019

Rev. Soc. Esp. Dolor.

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Pyoderma gangrenosum (PG) is a rare and painful skin disease with unpredictable treatment response. The lesions are recurrent and occur in areas that have suffered previous trauma. Some cases have been related to different types of surgeries and it is usually underdiagnosed and erroneously classifi ed as an infectious process. The implantation of a neurostimulation system is a surgical procedure with several possible complications, usually infectious but also non-infectious such as hypersensitivity reactions but there is no description of PG. We report a patient with a post-surgical complex regional pain syndrome in both feet that develops a necrotic, pustular, erythematous and painful lesion after the implantation of a spinal cord stimulation which was diagnosed as PG and correctly treated thanks to a multidisciplinary approach.

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Érythème cutané provoqué par une neurostimulation cordonale postérieure : deux observations

Cited by 13 publications

References 9 publications

Detailed analysis of allergic cutaneous reactions to spinal cord stimulator devices

Detailed analysis of allergic cutaneous reactions to spinal cord stimulator devices

A Case of an Allergic Reaction to a Spinal Cord Stimulator: Identification of the Antigen With Epicutaneous Patch Testing, Allowing Successful Reimplantation

Pioderma gangrenoso, complicación infrecuente en la neuroestimulación medular.

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