• Neuromodulation · May 2011

    Case Reports

    Spinal cord stimulation for Raynaud's syndrome: long-term alleviation of bilateral pain with a single cervical lead.

    • Tilman Wolter and Kristin Kieselbach.
    • Interdisciplinary Pain Centre, University Hospital Freiburg, Breisacherstrasse 64, Freiburg, Germany. tilman.wolter@uniklinik-freiburg.de
    • Neuromodulation. 2011 May 1;14(3):229-33; discussion 233-4.

    Introduction  Spinal cord stimulation (SCS) has been described in a variety of neuropathic and vasospastic pain conditions including Raynaud's syndrome.Methods  We report here the outcome of single lead SCS in the case of a 49-year-old woman with severe Raynaud's syndrome, which had failed to respond to medical therapy.Results  With a single quadripolar cervical lead in midline position at the C2/C3 level sustained pain relief of the bilateral pain was accomplished. Pain scores sank from 7/10 to 2-3/10 on the nominal analog scale and remained stable more than nearly four years by now.Conclusions  Treatment of bilateral pain in Raynaud's syndrome with SCS in a single technique is feasible. Advantages and disadvantages as compared with stimulation with bilateral leads are discussed.© 2011 International Neuromodulation Society.

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