Peripheral Nerve Field Stimulation (PNFS) as a Treatment Option for Intractable Radiation-Induced Facial Neuropathic Pain in a Survivor of Laryngeal Cancer: A Case Report.

Abstract:

BACKGROUND:Treatment-related chronic neuropathic pain represents a major and increasing cause of discomfort in cancer survivors. Unfortunately, in approximately 10%-15% of cases, pain is scarcely relieved by opioids and common painkillers. Thus, alternative measures to manage pain have recently been adopted in these patients. CASE DESCRIPTION:We report the case of a laryngeal cancer survivor who developed an intractable bilateral mandibular radiation-induced neuropathic pain syndrome. His pain was refractory to any pharmacological treatment, whereas the implant of bilateral subcutaneous facial electrodes led to the complete resolution of pain. CONCLUSIONS:To the best of our knowledge, this is the first report in literature describing peripheral nerve field stimulation as a treatment option for intractable cancer treatment-related chronic neuropathic pain. Peripheral nerve field stimulation appears to be a safe and effective procedure.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Levi V,Messina G,Franzini A,Zanin L,Castelli N,Dones I

doi

10.1016/j.wneu.2016.03.104

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

671.e5-7

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30069-9

journal_volume

91

pub_type

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