Spinal cord stimulation for the treatment of upper and lower extremity neuropathic pain due to Lyme disease

Massimo Mearini, Stefano Podetta, Emanuela Catenacci, Patrizia D'Auria, Claudio Cornali, Pietro Mortini

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Lyme disease is caused by Borrelia, a bacterium transmitted by the bite of a deer tick. A slow developing encephalopathy or an axonal polyneuropathy with distal paresthesia and spinal or radicular pain rarely occurs and can be hard to treat. Materials and Methods. We report here the case of a 44-year-old woman with four-limb, intolerable, neuropathic pain as sequelae to Lyme disease, which was resistant to conservative measures and was treated successfully with concurrent, thoracic, and cervical percutaneous spinal cord stimulation (SCS). Results. After 18 months of therapy and follow-up, this patient's analgesia, as a result of SCS, continues to be excellent, with almost complete subjective pain relief and cessation of adjuvant analgesic medication. Conclusions. SCS may be efficacious for the treatment of neuropathic pain due to Lyme disease.

Original languageEnglish
Pages (from-to)142-147
Number of pages6
JournalNeuromodulation
Volume10
Issue number2
DOIs
Publication statusPublished - Apr 2007

Keywords

  • Lyme disease
  • Neuropathic pain
  • Spinal cord stimulation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Neuroscience(all)

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