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이상은,최락민,기림,이강훈,전상윤,정재욱,김우진,윤진선 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.2
Spinal cord stimulation (SCS) in trials involving external stimulation are easily conducted under local anesthesia. However,implantation of a permanent SCS system is painful, and can be intolerable in some patients. Epidural anesthesia canbe used to perform the SCS implantation without discomfort if the patient can localize the area of paresthesia. However,little is known about epidural anesthesia for SCS. This paper reports 23 cases of permanent SCS with a cylindrical typelead implanted under the epidural anesthesia. Epidural anesthesia was sufficient in 22 patients without discomfort andsignificant complications. The remaining patient experienced incomplete epidural anesthesia and required additional analgesicsto blunt the pain. All the leads were placed consistent with the patient’s report of paresthesia area under epiduralanesthesia. Thus, epidural anesthesia is an effective and safe method for the optimal placement of SCS to minimize thediscomfort for patients without impairing patients’ response to the intraoperative stimulation test.
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