{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T08:28:10Z","timestamp":1786436890888,"version":"build-2736575974"},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spinal cord stimulation (SCS) involves the utilization of an implantable neurostimulation device, stereotypically used in the treatment of patients with chronic neuropathic pain. While these devices have been shown to have significant clinical benefits, there have also been documented potential complications, including the risk of infection, fractured electrodes, electrode migration, and lack of symptom improvement. In addition, there has been minimal documentation on gastrointestinal (GI) side effects after SCS implantation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 42-year-old patient with chronic axial and radicular neuropathic pain in her back and left leg status post multiple lumbar surgeries underwent implantation of an open paddle lead in the T8\u2013T9 region. After the procedure, the patient endorsed a 50% decrease in pain at the 6-week follow-up with no further concerns. However, at the 18 months follow-up, the patient endorsed severe constipation when the SCS was turned on, leading to subsequent evaluation by gastroenterology, motility studies, and a thorough bowel regimen. Symptoms persisted, and the patient ultimately opted for the removal of the SCS implant at 21 months after the initial surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>While the exact mechanism behind the GI side effects endorsed in this patient is unknown, current literature postulates a variety of theories, including a SCS-induced parasympathetic blockade of the GI tract. Further, investigation is needed to determine the exact effects of SCS on the GI tract.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1133_2022","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T07:56:55Z","timestamp":1689926215000},"page":"250","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spinal cord stimulation-induced gastroparesis: A case report"],"prefix":"10.25259","volume":"14","author":[{"given":"Anusha","family":"Manjunath","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chirag","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archit Bharathwaj","family":"Baskaran","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, The University of Chicago Pritzker School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia A.","family":"Kozel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua M.","family":"Rosenow","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"10.25259\/SNI_1133_2022\/ref-1","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/0016-5085(93)90419-D","article-title":"The central organization of the vagus nerve innervating the colon of the rat","volume":"104","author":"Altschuler","year":"1993","journal-title":"Gastroenterology"},{"key":"10.25259\/SNI_1133_2022\/ref-2","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1016\/j.wneu.2013.06.012","article-title":"Is spinal cord stimulation safe? 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