• World Neurosurg · Oct 2020

    Case Reports

    Spinal cord stimulation in the treatment of pediatric erythromelalgia.

    • Xiaochong Fan, Huilian Bu, Yuanyuan Wen, Letian Ma, Chen Huang, Fuxing Xu, Tao Wang, Cunlong Kong, and Yinhui Zhou.
    • Centre of Pain Management, Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
    • World Neurosurg. 2020 Oct 1; 142: 388-390.

    BackgroundIn children, erythromelalgia is a rare but difficult to manage condition that results in bilateral episodic pain and redness in distal extremities. It is heat intolerant and relieved by cooling. Management of erythromelalgia is difficult and requires a complex multidisciplinary approach.Case DescriptionWe present a case of successful treatment of erythromelalgia with short-term spinal cord stimulation in a 12-year-old girl. The patient had severe burning pain, having undergone trials of multiple medical therapies before presenting to our department. Dual-lead spinal cord stimulator electrodes were successfully implanted without complication, leading to excellent pain control, now 8 months postimplant.ConclusionsThis case spurs interest for future research in neuromodulation as part of the multimodal regimen to treat pediatric erythromelalgia.Copyright © 2020 Elsevier Inc. All rights reserved.

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