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Emami Z, Moosavi NS, Karimi M, et al. S3 motor branch stimulation failure due to nerve fiber burning at the nerve-wire junction: A historical technical note. Surg Neurol Int. 2013;4:25doi: 10.4103/2152-7806.107901.
Emami, Z., Moosavi, N. S., Karimi, M., Vaccaro, A. R., & Rahimi-Movaghar, V. (2013). S3 motor branch stimulation failure due to nerve fiber burning at the nerve-wire junction: A historical technical note. Surgical neurology international, 425. https://doi.org/10.4103/2152-7806.107901
Emami, Zahra, et al. "S3 motor branch stimulation failure due to nerve fiber burning at the nerve-wire junction: A historical technical note." Surgical neurology international vol. 4 (2013): 25. doi: https://doi.org/10.4103/2152-7806.107901
Emami Z, Moosavi NS, Karimi M, Vaccaro AR, Rahimi-Movaghar V. S3 motor branch stimulation failure due to nerve fiber burning at the nerve-wire junction: A historical technical note. Surg Neurol Int. 2013;4:25. doi: 10.4103/2152-7806.107901. Epub 2013 Feb 27. PMID: 23532707; PMCID: PMC3604815.
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Surg Neurol Int. 2013;4:25. doi: 10.4103/2152-7806.107901. Epub 2013 Feb 27.

S3 motor branch stimulation failure due to nerve fiber burning at the nerve-wire junction: A historical technical note.

Surgical neurology international

Zahra Emami, Najme-Sadat Moosavi, Majid Karimi, Alexander R Vaccaro, Vafa Rahimi-Movaghar

Affiliations

  1. Department of Neurosurgery, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 23532707 PMCID: PMC3604815 DOI: 10.4103/2152-7806.107901

Abstract

BACKGROUND: Sacral nerve stimulation is a minimally invasive procedure to treat spinal cord injured (SCI) patients with overactive bladder syndrome or nonobstructive urinary retention that is refractory to conservative treatment.

METHODS: In this paper, we report a case of traumatic cervical SCI with quadriplegia and spastic bladder, which was managed by third sacral motor branch stimulation in 1998.

RESULTS: In this case, stimulation-induced burning of nerve fibers was seen microscopically during the implantation surgery. At 2 weeks after the index surgery, the stimulator was removed due to ineffectiveness. We hypothesize that the stimulation settings of our stimulator were not appropriate for neural stimulation and led to neural destruction, fibrosis, and treatment failure.

CONCLUSION: The device settings of stimulators used in neural stimulation should be appropriate for direct neural stimulation otherwise they can lead to neural destruction and treatment failure.

Keywords: Nerve root injury; sacral nerve stimulation; spinal cord injury

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