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Where is

I am needing to know where is the paracentral eipidural space? I had an Mri that stated that there is a metal artifact in the parcentral epidural space and I am trying to figure out where that is. The MRI is of my cervical spine. It says a tiny focal signal distoring artifact in the left paracentral epidural space. Can someone explain to me what this means?

Thanks,
GK06096
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7721494 tn?1431627964
I am not familiar with a procedure where the stimulator is placed behind the ear.

I suggest that you see a medical malpractice attorney, and tell him/her your story.

If the lawyer is willing to take the case on a contingency basis (no money down -- they get a percentage of the award. 33% is not unusual) -- then hire that attorney.

The lawyer will get your medical records, for which you will have to pay. They will cost money -- hundreds of dollars, depending on the number of pages.

For instance, I had to buy three years of medical records from my pain doctor, at a cost of almost $700. My doc is very thorough and had a thick stack of records.

Your attorney can then learn the truth about your procedures and consent forms.

If you were given a medical procedure without your consent and without being notified of the risks of that procedure, then your attorney will file a case.

Yes, an MRI will burn with any metal in your body, unless it is made of titanium or titanium-nickel.

Best of luck
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Avatar universal
This is so crazy. Ok this is what I found in the notes after trying to figure out what the artifact is in epideral space, I found that the neuro stimulator was implanted into my right ear and was glued to my mastod bone then the leads were guided in from the back of my neck. I don't remember any of it at all. no device to turn it up or down adjust it nothing. Now I am experiencing what I call a taser shocking feeling that backs every ligament muscle in my neck start spasming like crazy. as it happens I've taken pictures and you can see my muscles spasming. I have had so much pain and trouble since the surgery, I felt better before I had it. Also, I asked about the device material because I am very allergic to plastic, which was stated in my file, so I was curious because that could be some of my problem, the stimulator, if it has any plastic anywhere, its not a good thingl.  the procedure for the stimulator was done 15 mins after my fist proceduce and if i gave permission it was becuase I loopy no meds and still was out due to anthesia, there is no signature stating that I agreed to it either. The x-ray didn't see the stimulator behind my hear not did the MRI. I can tell you that the MRI burned like crazy....
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7721494 tn?1431627964
First, the neuro stim computer does not go in the spine -- it is implanted in the pelvis or lower abdomen. Only the leads, which are connected to the neuro stim via a cable,  terminate near the spinal cord in the epidural space.

It is very unusual that any doc would implant the leads without reason, and without your consent.Did you sign a consent?

There are two parts to a spine stimulator -- the neurostim computer that resides in your pelvis or abdomen, and the leads that travel up the spine to the terminal location, for instance, the center of discogenic pain, or the location of spinal stenosis, where they will do most good.

When you are being considered for neurostim therapy, you first undergo a trial period with temporary stim and leads. These exit the body through a small portal that must be kept dry and clean, and connect to an external stimulator device that's about the size of a small cell phone. Sometimes these come with another device used to change settings and programs, or these controls are on the temporary stimulator.

You would live with this for a few days to a week to find the best location for the leads, and test the system's effectiveness against pain.

You'd be instructed by a tech on how to change programs, and by the doctor or nurse on how to care for the portal  where the leads exit the skin. For example, you wouldn't want to get it wet.

Thhe initial lead placement usually requires an adjustment or two until the leads are in the optimal location. You work closely with the doctor during the trial period in finding this optimal spot.

Certainly you'd remember this process.

Could it be that your doc installed the leads and left them in, without bringing them out to the stimulator device -- frankly, it makes no sense to do this.

These devices, including the leads and cable connector are expensive. You would have been billed for this service, and the leads.

If you have success with the temporary stimulator, you and your doctor then consider whether or not an implantable neuro stimlator is appropriate.

Metronic is the largest manufacturer of these kind of medical devices in the world.

Here's their website pointing to all the information you'd want to know about epidurall neurostimulators  (and medication pumps).

http://www.medtronic.com/patients/chronic-pain/device/index.htm

By the way, the Medtronic RestoreSensor stim is the smallest made: 2" x 2" x 1/2" (approximately.)
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Avatar universal
yes in December I had cervical surgery and it was on C5-6, not sure what all was done, but I know that it only took 15 mins. Plus, I was asked the day before if I would be interested in having a neuro stimulator inplanted for pain and I said no I was not interested but I find out after the MRI that found the metal artifact, that they did implant it after I said no I didn't want it. It was also not disclosed to the tech that did the MRI that I had a stimulator but problem is now they don't see the stimulator on MRI at all. You seem pretty knowledgeable, would you happen to know anything about a neuro stimulator, how big is it, what is it made of , does it have anything plastic on it, etc. I just don't understand why the would send me for an MRI when they knew I had that device in me. just weird.
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7721494 tn?1431627964
Search for images of normal cervical spine anatomy and you'll understand my description.

The vertebral column resides anteriorly, ie, in front of the spinal cord, when viewed from the front.

The spinal cord is wrapped in a three layer fluid filled "sac" -- this is the thecal sac, and the paracentral epidural space is the anterior side of the sac, centrally located behind the corresponding disc or vertebra.

The question is, how did a piece of metal get into your thecal sac -- have you had prior surgery or procedures on your surgical spine?

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