{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T08:59:52Z","timestamp":1762937992047,"version":"3.45.0"},"reference-count":9,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dorsal root ganglion stimulation (DRGS) is a recognized treatment for chronic neuropathic pain. A well\u2010known complication is electrode migration, which most commonly occurs in a caudal direction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To present a rare clinical case of cranial migration of a DRGS electrode into the mediastinum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 62\u2010year\u2010old woman with pharmacoresistant intercostal neuralgia underwent DRGS electrode implantation at the Th2 level using a standard linear lead, as specialized DRGS electrodes were unavailable. Initial therapy was effective. However, follow\u2010up imaging approximately two years post implantation revealed that the electrode had migrated cranially through the Th2\u2010Th3 intervertebral foramen. The tip was located in the mediastinum, in immediate proximity to the right subclavian artery, creating a significant risk of vascular or pleural injury. The electrode was successfully and safely explanted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first reported case of mediastinal migration of a DRGS electrode. It highlights the unique risks associated with off\u2010label cranial DRGS applications due to anatomical constraints and gravitational forces. The case underscores the urgent need for the development and use of specialized electrodes designed for such locations and reinforces the importance of improved fixation techniques and long\u2010term postoperative vigilance to mitigate migration risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papr.70086","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T14:54:24Z","timestamp":1760540064000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Migration of a Dorsal Root Ganglion Stimulation Electrode Into the Mediastinum: A Clinical Case Study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3272-8699","authenticated-orcid":false,"given":"Kondratyev","family":"Viktor","sequence":"first","affiliation":[{"name":"N.N. Burdenko National Medcial Research Center of Neurosurgery  Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1191-9357","authenticated-orcid":false,"given":"Isagulyan","family":"Emil","sequence":"additional","affiliation":[{"name":"N.N. Burdenko National Medcial Research Center of Neurosurgery  Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2120-0146","authenticated-orcid":false,"given":"Tomskiy","family":"Alexei","sequence":"additional","affiliation":[{"name":"N.N. Burdenko National Medcial Research Center of Neurosurgery  Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4990-3986","authenticated-orcid":false,"given":"Polushkin","family":"Andrew","sequence":"additional","affiliation":[{"name":"N.N. Burdenko National Medcial Research Center of Neurosurgery  Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000814"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ner.13047"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12937"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2018.4.E377"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2004.100.3.0254"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13052"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.04.225"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13285"},{"key":"e_1_2_11_10_1","unstructured":"U.S. Food and Drug Administration \u201cPremarket Approval (PMA) for Abbot (Formerly St.Jude Medical) DRG Neurostimulation System (P150004). FDA \u201d(2016) https:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfPMA\/pma.cfm?%20id=P150004."}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.70086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T08:54:57Z","timestamp":1762937697000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.70086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/papr.70086"],"URL":"https:\/\/doi.org\/10.1111\/papr.70086","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"type":"print","value":"1530-7085"},{"type":"electronic","value":"1533-2500"}],"subject":[],"published":{"date-parts":[[2025,10,15]]},"assertion":[{"value":"2025-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70086"}}