• Thomas M Kinfe and Bogdan Pintea.
• Division of Functional Neurosurgery and Neuromodulation, Department of Neurosurgery, Rheinische Friedrich Wilhelms University, Bonn, Germany.
• J Neurol Surg A Cent Eur Neurosurg. 2016 Mar 1; 77 (2): 176-8.

ObjectiveTo describe an unusual case of combined neuropathic and ischemia-induced chronic pain in a patient who was treated with one high thoracic paddle lead.BackgroundTo the best of our knowledge, the use of spinal cord stimulation (SCS) utilizing a single lead as a treatment strategy for combined Prinzmetal angina, a cardiac ischemia-induced disturbance of nociceptive perception, and diabetic neuropathy of the lower limbs has rarely been described.Case ReportThe underlying pain conditions and SCS technique used to treat both types of pain-Prinzmetal angina and lower-limb diabetic neuropathy-in a 73-year-old patient experiencing medical or interventional refractory complex pain syndrome are described. The SCS electrode was placed in the anatomical midline with a T2- to T3-level laminotomy and externalized for postoperative trial stimulation with systemic antibiotic administration.ResultsAfter 8 months, stable pain control was achieved. No complications occurred.ConclusionWe present a chronic pain syndrome due to combined Prinzmetal angina and diabetic neuropathy of the lower limbs with sustained pain relief utilizing a single SCS lead.Georg Thieme Verlag KG Stuttgart · New York.

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