Bipolar dual-lead spinal cord stimulation between two electrodes on the ventral and dorsal sides of the spinal cord: consideration of putative mechanisms

Watanabe Mitsuru; Yamamoto Takamitsu<sup>*</sup>; Fukaya Chikashi; Obuchi Toshiki; Kano Toshikazu; Kobayashi Kazutaka; Oshima Hideki; Yoshino Atsuo

doi:10.1007/s00701-017-3421-8

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Bipolar dual-lead spinal cord stimulation between two electrodes on the ventral and dorsal sides of the spinal cord: consideration of putative mechanisms

作者：Watanabe Mitsuru; Yamamoto Takamitsu^*; Fukaya Chikashi; Obuchi Toshiki; Kano Toshikazu; Kobayashi Kazutaka; Oshima Hideki; Yoshino Atsuo

来源：Acta Neurochirurgica, 2018, 160(3): 639-643.

DOI：10.1007/s00701-017-3421-8

摘要

We have applied bipolar dual-lead spinal cord stimulation (SCS) between two cylinder-type electrodes placed on the ventral and dorsal sides of the spinal cord (dual-VD-SCS). A 36-year-old man suffered from burning pain from his right elbow down to his hand after brachial plexus avulsion. The areas with paresthesia induced by conventional SCS did not include the painful hand area. However, dual-VD-SCS completely induced paresthesia in the painful hand area. We speculate that dual-VD-SCS can be applied to stimulate deeper sites of the dorsal column and dorsal horn than conventional SCS and is useful for pain reduction.