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Abstract

1. 2024;8;289-292 Spinal Cord Stimulation in Small Fiber Neuropathy: A Case Report
   Case Report
   Vittorio Schweiger, MD, Libera Villagrossi, MD, Alvise Martini, MD, Eleonora Bonora, MD, Leonardo Gottin, MD, Massimo Parolini, MD, Patrizia Vendramin, MD, Marta Nizzero, MD, Pierluigi Manchiaro, MD, and Enrico Polati, MD.

BACKGROUND: Spinal cord stimulation (SCS) is a well-established pain treatment in several chronic neuropathic pain conditions refractory to conservative treatments. Neuropathic pain due to small fiber neuropathy (SFN) may represent a further indication.

CASE REPORT: We treated with SCS a 22-year-old female patient with SFN and chronic neuropathic pain. After an initial effective trial targeting the lower limbs with improvement in pain and quality of life, a definitive implant was performed. Ten months later, a single cervical octopolar electrode was inserted to treat upper limb pain with the same protocol (i.e., initial effective trial and definitive implant). Also, in this case, the patient experienced a significant global reduction in upper limb pain.

CONCLUSIONS: To date, evidence for the SCS efficacy in refractory SFN-related pain is still limited to small case series or case reports. Our experience may help to validate this indication.

KEY WORDS: Small fiber neuropathy, spinal cord stimulation, neuropathic pain

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