Peripheral Nerve Stimulation: A Percutaneous Minimally Invasive Approach |
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| Authors: | Enrico Monti |
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| Institution: | 1. Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg D-20245, Germany;1. Department of Biomedical Engineering, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA;2. Louis Stokes Cleveland Veteran Affairs Medical Center, 10701 East Boulevard, Cleveland, OH, 44106, USA;1. National Institute for Health Research–Wellcome Trust King''s Clinical Research Facility and South London and the Maudsley Biomedical Research Centre, King''s College London, London SE5 9PJ, UK;2. Rockefeller Neuroscience Institute, West Virginia University School of Medicine, Morgantown, WV, USA;3. Department of Neurology, Mayo Clinic, Scottsdale, AZ, USA |
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| Abstract: | We report on the use of a new percutaneous technique for peripheral nerve stimulation (PNS) treatment of chronic pain. A 56‐year‐old woman was diagnosed with algodystrophic syndrome, now called Complex Regional Pain Syndrome, type 2 (CRPS2), due to a lesion of the right medial nerve despite surgical revascularization, angioplasty and stent insertion. After a successful 10‐day trial of PNS via a percutaneous quadripolar lead in the interscaline space, an implantable pulse generator was implanted in the abdominal subcutaneous tissue and connected to the subcutaneous lead via an extension. After one year of follow‐up, the patient was still experiencing good pain relief. We conclude that this novel percutaneous PNS technique offers the advantage of being a minimally invasive approach that can be easily adopted for the management of chronic pain. |
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| Keywords: | algodystrophic syndrome chronic pain CRPS type 2 implantable pulse generator neurostimulation peripheral nerve stimulation |
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