Re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method: case report

Abstract

We report re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method. A patient had received spinal epidural electrical stimulation. The electrical stimuli covered the painful area; however, the threshold for electrical stimulation increased, suggesting damage of the electrodes. Since adhesion of the epidural space was expected and a new one should be placed at the previous position, it was inserted into the epidural space at the previous position with Seldinger method guided by a Tuohy needle under fluoroscopy. Electrical stimuli via the newly inserted electrode lead covered the painful area. The pain was well controlled. We conclude that re-insertion of an electrode lead for spinal epidural electrical stimulation with Seldinger method can minimize the incision for re-insertion and displacement of the electrode lead.