Dorsal root ganglion stimulation for treatment of complex regional pain syndrome of the foot

Kevin Hines; Fadi Al Saiegh; Aria Mahtabfar; Kavantissa M Keppetipola; Caio M Matias; Chengyuan Wu; Ashwini Sharan

doi:10.3171/2020.7.FOCVID2034

Dorsal root ganglion stimulation for treatment of complex regional pain syndrome of the foot

Neurosurg Focus Video. 2020 Oct 1;3(2):V8. doi: 10.3171/2020.7.FOCVID2034. eCollection 2020 Oct.

Authors

Kevin Hines¹, Fadi Al Saiegh¹, Aria Mahtabfar¹, Kavantissa M Keppetipola¹, Caio M Matias¹, Chengyuan Wu¹, Ashwini Sharan¹

Affiliation

¹ Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania.

Abstract

This is a case of a 54-year-old man presenting with complex regional pain syndrome (CRPS) type 1 of the right lower extremity, which was most debilitating in the plantar aspect of the right foot. The patient had prior treatment with thoracic spinal cord stimulation; however, the foot pain remained intractable. Given that his pain was predominantly in his foot and remained debilitating despite thoracic spinal cord stimulation, it was recommended that the patient undergo a trial of dorsal root ganglion (DRG) stimulation. The surgical technique for placement of dorsal root ganglion stimulators is demonstrated in this operative video. The video can be found here: https://youtu.be/_1xMxFZa6tU.

Keywords: complex regional pain syndrome; dorsal root ganglion; foot pain; neuromodulation; neurostimulation.