Scenario A 68-year-old male is referred to discuss deep brain stimulation surgery for his upper extremity tremor, which has been characterized as essential tremor, also known as benign familial tremor. He reports a long history of tremors which began in…
Scenario A 14-year-old female is referred to discuss deep brain stimulation surgery for idiopathic generalized dystonia. She is of Ashkenazi Jewish descent and presented in early childhood with dystonic movements of one leg, which later generalized. Multiple oral medications as…
Scenario A 65-year-old woman is referred to discuss deep brain stimulation surgery for Parkinson's disease (PD). She was diagnosed with PD at age 55, after presenting with dragging of the right side of her body. In retrospect, she reported some…
Scenario A 50-year-old woman with failed back surgery syndrome (FBSS) has been identified as a spinal cord stimulation (SCS) candidate by her pain management physician and is undergoing a one week trial. She is met shortly before the trial procedure…
Scenario A 21-year-old woman presented in referral for treatment of a severe lower extremity pain. She had initially been treated after a horseback riding injury with a nondisplaced fracture of the fibula. Despite good bone healing, she had persistent pain…
Scenario A 42-year-old man came into the clinic as a referral to reposition or at least evaluate his spinal cord stimulator system. He had a long history of several revisions which he described at some length after a series of…
Scenario A 49-year-old woman is referred for placement of a spinal cord stimulator from a physiatrist who sees many patients with persisting back pain and failed back surgery syndrome in general. Although this physician does place trial leads in some…
Scenario A 52-year-old man is referred for placement of a cervical spine paddle lead after a successful trial by a pain physician in the community. He has had two anterior cervical discectomies with fusion in the past, at two separate…
Scenario A 42-year-old woman is referred for placement of a paddle lead and implantable pulse generator (IPG) after a successful trial by an outside pain physician in the community. The woman has had three prior lumbar spine surgeries: initially, an…
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