Table 1.
Timeline of patient’s disease from initial and follow-up visits.
| Dates | Summaries from initial and follow-up visits | Diagnostic testing | Interventions |
|---|---|---|---|
| 10.01.2003 | Paraesthesia on her both upper extremities and right leg | Cranial and cervical MRI scan showed hyperintense MS plaque is seen at C3, C4 level and cranial many hyperintense MS plaques | Started betaferon (interferon beta-1b) treatment |
| 25.02.2006 | Right leg and back pain. Pain had a radicular character. | Lumbar MRI shows right L4-5 intervertebral disc herniation | Patient underwent physical therapy and medical treatment for one year |
| 02.03.2007 | Right leg and back pain. Complaints were not resolved | Lumbar MRI shows right L4-5 intervertebral disc herniation | Right L4-5 intervertebral discectomy was performed |
| 02.03.2008 | Right leg pain | Recurrent intervertebral disc herniation and segmental instability | Lumbar stabilisation and reccurent invertebral discectomy was performed |
| 02.09.2008 | Numbness, tingling and stinging on the right leg | No another reccurent disc or instability | Nonsteroidal antiinflammatory drugs (NSAID) and gabapentin for neuropathic pain |
| 02.03.2009 | Epiduroscopy | ||
| 02.09.2009 | Facet joint blockage | ||
| 02.03.2010 | Epiduroscopy | ||
| 02.09.2010 | Facet joint blockage | ||
| 02.01.2016 | VAS was 10 | FBSS and MS | implanted the STIMWAVE spinal cord stimulator system |
| 07.01.2016 | VAS post-implantation is 3 | X-ray: lead tips were placed thoracal vertebral. No migration | Decreased gabapentin dose |
MRI - magnetic resonance imaging, MS - multiple sclerosis, VAS - visual analogue scale, FBSS - failed back surgery syndrome