Justin Pratte, Paul Farris, Rachael Aresco, David Gutierrez
{"title":"Successful Treatment of Cervical Dystonia With Temporary Peripheral Nerve Stimulation of the Medial Branch Nerves: A Case Report.","authors":"Justin Pratte, Paul Farris, Rachael Aresco, David Gutierrez","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cervical dystonia can be a difficult source of neck pain to treat, with pain from both nociceptive and nonnociceptive sources. Botulinum toxin as the mainstay of treatment carries approximately 10% failure rate in these patients, leaving them with debilitating pain. Peripheral nerve stimulation (PNS) is a proven pain management technique, and until now, PNS has not been reported as a treatment for refractory cervical dystonia.</p><p><strong>Case report: </strong>We present a case where temporary PNS is successfully used to treat refractory cervical dystonia by targeting the cervical medial branch nerves.</p><p><strong>Conclusions: </strong>We believe temporary PNS has good utility as treatment for refractory cervical dystonia. Using PNS can provide immediate and long-lasting relief of their dystonia symptoms and can mitigate the need for a permanent implant.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 7","pages":"645-648"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","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: Cervical dystonia can be a difficult source of neck pain to treat, with pain from both nociceptive and nonnociceptive sources. Botulinum toxin as the mainstay of treatment carries approximately 10% failure rate in these patients, leaving them with debilitating pain. Peripheral nerve stimulation (PNS) is a proven pain management technique, and until now, PNS has not been reported as a treatment for refractory cervical dystonia.
Case report: We present a case where temporary PNS is successfully used to treat refractory cervical dystonia by targeting the cervical medial branch nerves.
Conclusions: We believe temporary PNS has good utility as treatment for refractory cervical dystonia. Using PNS can provide immediate and long-lasting relief of their dystonia symptoms and can mitigate the need for a permanent implant.