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

详细信息    查看全文

• 作者：Vincenzo Levi ; ^{vincenzo.levi@unimi.it" class="auth_mail" title="E-mail the corresponding author} ; Giuseppe Messina ; Angelo Franzini ; Luca Zanin ; Nicolo Castelli ; Ivano Dones
• 关键词：Cancer treatment-related pain ; Neuromodulation ; Peripheral nerve field stimulation (PNFS)
• 刊名：World Neurosurgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：91
• 期：Complete
• 页码：671.e5-671.e7
• 全文大小：396 K

文摘

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.