Neurologic injury after sacral nerve stimulation (SNS) is rare, but the incidence is unknown. Infection is a potential mechanism for neurologic damage. This report illustrates the presentation, pathophysiology, diagnostic considerations, and treatment of epidural infection causing neurologic deficits after SNS.
We present a case of a woman with severe fecal incontinence due to Crohn’s disease who underwent SNS implantation and subsequently developed a wound infection requiring complete device explantation. A few days later, she presented with leg pain and weakness. Urgent evaluation and treatment of epidural infection were performed. She had persistent neurologic deficits 6 months later.
Neurologic sequelae from an infection after SNS are a rare event and should be considered in patients with fevers, leg pain, and neurologic deficits.
From the *Department of Obstetrics and Gynecology, Dartmouth-Hitchcock Medical Center, Lebanon, NH;
†Department of Neurology, Dartmouth-Hitchcock, Manchester; and
‡The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH.
Correspondence: Angela S. Yuan, MD, Department of Obstetrics and Gynecology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756. E-mail: email@example.com.
The authors have declared they have no conflicts of interest.