case_images: PMC9902636_01
case_images: Lymphoscintigraphy showing the lymphatic system of both extremities using Tc-99m phytate. It shows delayed lymphatic drainage of both lower extremities with the dermal back flow (right > left). RT: right, LT: left, Avg: average, Max: maximum, Min: minimum, Tot: total, R/L: right/left.
case_images: apm-22239f1.jpg
case_images: PMC9902636_01_apm-22239f1.jpg
case_images: f1-apm-22239
case_images: Lastly, lymphoscintigraphy was performed and it showed secondary lymphedema of both lower extremities (Fig. 1).
case_images: Fluoroscopic image showing the position of the electrode.
case_images: apm-22239f2.jpg
case_images: PMC9902636_01_apm-22239f2.jpg
case_images: f2-apm-22239
case_images: When the position of guide wire was in posterior epidural space by fluoroscopy, bilateral octapolar lead was inserted and advanced up to superior endplate of T11, which covers posterior epidural space from T12 to T11 (Fig. 2).
case_images: The changes of right (green) and left (yellow) side leg girth at the upper thigh (A) before and after spinal cord stimulation (SCS). The changes of right (green) and left (yellow) side leg girth at the lower calf (B) before and after SCS.
case_images: apm-22239f3.jpg
case_images: PMC9902636_01_apm-22239f3.jpg
case_images: f3-apm-22239
case_images: Therefore, serial changes of leg girth at those two regions before and after SCS were presented (Fig. 3A, B).