Vittorio Schweiger, Libera Villagrossi, Alvise Martini, Eleonora Bonora, Leonardo Gottin, Massimo Parolini, Patrizia Vendramin, Marta Nizzero, Pierluigi Manchiaro, Enrico Polati
{"title":"Spinal Cord Stimulation in Small Fiber Neuropathy: A Case Report.","authors":"Vittorio Schweiger, Libera Villagrossi, Alvise Martini, Eleonora Bonora, Leonardo Gottin, Massimo Parolini, Patrizia Vendramin, Marta Nizzero, Pierluigi Manchiaro, Enrico Polati","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Spinal cord stimulation (SCS) is a well-established pain treatment in several chronic neuropathic pain conditions refractory to conservative treatments. Neuropathic pain due to small fiber neuropathy (SFN) may represent a further indication.</p><p><strong>Case report: </strong>We treated with SCS a 22-year-old female patient with SFN and chronic neuropathic pain. After an initial effective trial targeting the lower limbs with improvement in pain and quality of life, a definitive implant was performed. Ten months later, a single cervical octopolar electrode was inserted to treat upper limb pain with the same protocol (i.e., initial effective trial and definitive implant). Also, in this case, the patient experienced a significant global reduction in upper limb pain.</p><p><strong>Conclusions: </strong>To date, evidence for the SCS efficacy in refractory SFN-related pain is still limited to small case series or case reports. Our experience may help to validate this indication.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"289-292"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Spinal cord stimulation (SCS) is a well-established pain treatment in several chronic neuropathic pain conditions refractory to conservative treatments. Neuropathic pain due to small fiber neuropathy (SFN) may represent a further indication.
Case report: We treated with SCS a 22-year-old female patient with SFN and chronic neuropathic pain. After an initial effective trial targeting the lower limbs with improvement in pain and quality of life, a definitive implant was performed. Ten months later, a single cervical octopolar electrode was inserted to treat upper limb pain with the same protocol (i.e., initial effective trial and definitive implant). Also, in this case, the patient experienced a significant global reduction in upper limb pain.
Conclusions: To date, evidence for the SCS efficacy in refractory SFN-related pain is still limited to small case series or case reports. Our experience may help to validate this indication.
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