Mostofi, A; Tavakkoli, M; Bedran, H; Nirmalananthan, N; Pereira, EAC
(2019)
Spinal cord stimulation in the treatment of neuropathic pain in chronic inflammatory demyelinating polyneuropathy.
J Clin Neurosci, 67.
pp. 255-257.
ISSN 1532-2653
https://doi.org/10.1016/j.jocn.2019.06.006
SGUL Authors: Pereira, Erlick Abilio Coelho Mostofi, Abteen
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Abstract
We describe a case of a 70-year old man with sensorimotor chronic inflammatory demyelinating polyneuropathy (CIDP) with small-fibre involvement resulting in severe diffuse neuropathic pain which was refractory to immunotherapy and anti-neuropathic medication. His pain was successfully treated with implantation of a spinal cord stimulation (SCS) system comprising bilateral cervical and lumbar epidural leads. Following SCS programming, he experienced a 50% reduction in average pain severity with substantial improvement in quality of life, persisting at 18 months after surgery. SCS has been employed to treat a variety of neuropathic pain syndromes. However, this is the first report to our knowledge of SCS utilised effectively for pain in CIDP. This therapy should be considered in painful CIDP for neuropathic pain refractory to medical management, though further studies are required to evaluate its efficacy.
Item Type: | Article | ||||||||
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Additional Information: | © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | ||||||||
Keywords: | Chronic inflammatory demyelinating polyradiculoneuropathy, Pain, Spinal cord stimulation, Chronic inflammatory demyelinating polyradiculoneuropathy, Pain, Spinal cord stimulation, 1103 Clinical Sciences, 1109 Neurosciences, Neurology & Neurosurgery | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) | ||||||||
Journal or Publication Title: | J Clin Neurosci | ||||||||
ISSN: | 1532-2653 | ||||||||
Language: | eng | ||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 | ||||||||
PubMed ID: | 31221583 | ||||||||
Go to PubMed abstract | |||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/111023 | ||||||||
Publisher's version: | https://doi.org/10.1016/j.jocn.2019.06.006 |
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