Spinal cord stimulators and radiotherapy: First case report and practice guidelines

• Main Authors: Walsh Lorraine, Guha Daipayan, Purdie Thomas G, Bedard Philippe, Easson Alexandra, Liu Fei-Fei, Hodaie Mojgan
• Format: Article
• Language: English
• Published: BMC 2011-10-01
• Series: Radiation Oncology
• Subjects: radiotherapy; spinal cord stimulator; pacemaker; electronic device
• Online Access: http://www.ro-journal.com/content/6/1/143

<p>Abstract</p> <p>Spinal cord stimulators (SCS) are a well-recognised treatment modality in the management of a number of chronic neuropathic pain conditions, particularly failed back syndrome and radiculopathies. The implantable pulse generator (IPG) component of the SCS is designed and operates in a similar fashion to that of a cardiac pacemaker. The IPG consists of an electrical generator, lithium battery, transmitter/receiver and a minicomputer. When stimulated, it generates pulsed electrical signals which stimulate the dorsal columns of the spinal cord, thus alleviating pain. Analogous to a cardiac pacemaker, it can be potentially damaged by ionising radiation from a linear accelerator, in patients undergoing radiotherapy. Herein we report our clinical management of the first reported case of a patient requiring adjuvant breast radiotherapy who had a SCS <it>in situ</it>. We also provide useful practical recommendations on the management of this scenario within a radiation oncology department.</p>