Peripheral Nerve Field Stimulation (PNFS) as a Treatment Option for Intractable Radiation-Induced Facial Neuropathic Pain in a Survivor of Laryngeal Cancer: A Case Report

World Neurosurg. 2016 Jul:91:671.e5-7. doi: 10.1016/j.wneu.2016.03.104. Epub 2016 Apr 7.

Abstract

Background: Treatment-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 description: We 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.

Conclusions: To 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.

Keywords: Cancer treatment-related pain; Neuromodulation; Peripheral nerve field stimulation (PNFS).

Publication types

  • Case Reports

MeSH terms

  • Facial Nerve Diseases / etiology*
  • Facial Nerve Diseases / therapy*
  • Humans
  • Laryngeal Neoplasms / complications*
  • Laryngeal Neoplasms / radiotherapy
  • Male
  • Middle Aged
  • Pain Measurement
  • Radiotherapy / adverse effects*
  • Survivors
  • Transcutaneous Electric Nerve Stimulation / methods*
  • Treatment Outcome