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- Brian A Simpson and Ravindra Nannapaneni.
- Department of Neurosurgery, University Hospital of Wales, Cardiff, CF14 4XW, UK.
- Neuromodulation. 2017 Jun 1; 20 (4): 383-385.
BackgroundWith its relative simplicity and safety, peripheral nerve field stimulation (PNFS; PENS) is contributing to the re-emergence of peripheral nerve stimulation as an effective therapy for neuropathic pain (NPP).Case PresentationA 70-year-old woman had developed severe, medically refractory NPP unilaterally in the scalp and face 20 years earlier, following a maxillofacial surgical procedure. PNFS gave substantial relief of the pain and allodynia and was repeated successfully on a further 25 occasions over the subsequent five years. Tolerance did not develop.ConclusionSerially repeated PNFS can provide sustained relief of NPP over long periods, without tolerance, where a permanent implant may be inappropriate, unavailable, or declined.© 2016 International Neuromodulation Society.
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