Document Detail

Migration of pacemaker lead into the spinal venous plexus: case report with special reference to Batson's theory of spinal metastasis.
MedLine Citation:
PMID:  11437297     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE AND IMPORTANCE: Migration of a foreign material via venous routes into the spinal canal is a very rare incidence. We report the second case in which a foreign body has migrated into the spinal canal via the venous route. CLINICAL PRESENTATION: This 35-years-old man presented with sudden onset of severe low back pain and pain in the right leg four months after an unsuccessful attempt to remove a disconnected cardiac pacemaker lead via the femoral vein. Direct lumbar x-ray demonstrated the broken lead of the cardiac pacemaker at the entrance of the right L5 foramen which was also demonstrated by lumbar CT. SURGICAL INTERVENTION: After right L5 hemilaminotomy, the pacemaker lead was found in a vein of the anterior spinal venous plexus just beneath and lateral to the right L5 root. After dissecting it from the surrounding adipose tissue, the embolised pacemaker lead was taken out. CONCLUSION: We present a case report and review of the literature on migration of foreign material into the spinal canal, factors effecting the flow directions in the spinal veins. This case may be the first evidence that proved Batson's theory of spinal metastases in man.
H K Oge; S Aydin; F Cağavi; K Benli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  143     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2001  
Date Detail:
Created Date:  2001-07-04     Completed Date:  2001-12-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  413-6     Citation Subset:  IM    
Hacettepe University Medical School, Department of Neurosurgery, Ankara, Turkey.
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MeSH Terms
Device Removal / adverse effects
Electrodes, Implanted / adverse effects
Foreign-Body Migration / etiology*,  radiography*,  surgery
Neoplasm Metastasis*
Pacemaker, Artificial / adverse effects*
Spinal Canal / blood supply*,  radiography*,  surgery
Spinal Nerves / blood supply*,  radiography*,  surgery
Veins / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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