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Refractory Insomnia in a Patient with Spinal Cord Stimulator Lead Migration
Authors:Allen W. Burton  Mikhail Fukshansky  Jessica Brown  Samuel J. Hassenbusch
Affiliation:1. Johns Hopkins University School of Medicine, Baltimore, MD;2. Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD;3. Texas Tech University, El Paso, TX;4. University of Louisville, Louisville, KY;5. Wake Forest University, Winston-Salem, NC;6. Stanford University, Palo Alto, CA;7. California Pacific Medical Center, San Francisco, CA;9. Mayo Clinic College of Medicine, Rochester, MN;10. National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD;11. Temple University, Philadelphia, PA;8. Division of Gastroenterology, University of Michigan Health System, Ann Arbor, MI;1. Department of Neurosurgery, Albany Medical Center, Albany NY, United States;2. Department of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany NY, United States;3. Department of Pathology and Laboratory Medicine, Albany Medical College, Albany NY, United States;4. Acoustic Med Systems, Savoy, IL, United States;1. The Spine and Nerve Center of the Virginias, Charleston, WV, USA;2. Goodman Campbell Brain and Spine, St. Vincent Health, Indianapolis, IN, USA;3. Nura Pain Clinic, Minneapolis, MN, USA;4. Neurosurgical Associates of Lancaster, Lancaster, PA, USA;5. Pain Specialists of Charleston, Charleston, SC, USA;6. Pacific Sports and Spine, Eugene, OR, USA;7. Spinal Diagnostics, Tualatin, OR, USA;8. Nevada Advanced Pain Specialists, Reno, NV, USA;9. Abbott Labs, Austin, TX, USA;10. University of Chicago Medical Center, Chicago, IL, USA;1. Department of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany, NY, USA;2. Acoustic Medical Systems, Savoy, IL, USA;3. Department of Pathology, Albany Medical Center, Albany, NY, USA;4. Department of Neurosurgery, Albany Medical Center, Albany, NY, USA;1. Section of Allergy and Clinical Immunology, Imperial College London-NHLI, London, United Kingdom;2. Department of Medicine, McMaster University, Hamilton, ON, Canada;3. Division of Allergy, Rheumatology and Immunology, Department of Medicine, University of Cincinnati, Cincinnati, Ohio;4. Department of Pulmonology, University Hospital of Montpellier, & IPLESP, Sorbonne Université – Inserm, Paris, France;5. The Royal Melbourne Hospital & The University of Melbourne, Melbourne, VIC, Australia;6. Clinique Spécialisée en Allergie de la Capitale, Québec, QC, Canada;7. Campbelltown Hospital and the School of Medicine, Western Sydney University, Sydney, NSW, Australia;8. Division of Clinical Immunology and Allergy, Western University, London, ON, Canada;9. Division of Clinical Immunology & Allergy, Department of Medicine, McMaster University, Hamilton, ON, Canada;10. Department of Medicine, National Jewish Health, Denver, Colo;11. Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan;12. Department of Otolaryngology, Nippon Medical School, Nippon, Japan;13. Department of Pneumology/Intensive Care Medicine, University of Rostock, Rostock, Germany;14. Department of Medicine, Division of Allergy and Immunology, The George Washington University School of Medicine and Health Sciences, Washington, DC;15. Division of Allergy/Immunology, University of South Florida, Tampa, Fla;p. Personalized Medicine Clinic Asthma & Allergy, Humanitas Clinical and Research Center, Rozzano, Milan, Italy;q. Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy;r. ALK, Bedminster, NJ
Abstract:This report outlines a case of refractory insomnia temporally related to migration of cervical spinal cord stimulator leads. To our knowledge this association is previously unreported. The patient had an intractable sleep disturbance until replacement of the leads. A brief review of insomnia and its complex relationship to chronic pain is presented. We hope that this case will stimulate further discussion and possibly bring to light new insights into spinal cord stimulation and insomnia and alert others to this possible clinical association of symptoms.
Keywords:chronic pain  insomnia  pain  sleep  spinal cord stimulation
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