• World Neurosurg · Jul 2016

    Case Reports

    Peripheral nerve field stimulation (PNFS) as a treatment option for intractable radiation-induced facial neuropathic pain in a laryngeal cancer survivor: a case report.

    • Vincenzo Levi, Giuseppe Messina, Angelo Franzini, Luca Zanin, Nicolo Castelli, and Ivano Dones.
    • Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico Carlo Besta, Milan, Italy. Electronic address: vincenzo.levi@unimi.it.
    • World Neurosurg. 2016 Jul 1; 91: 671.e5-7.

    BackgroundTreatment-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 DescriptionWe 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.ConclusionsTo 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.Copyright © 2016 Elsevier Inc. All rights reserved.

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