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Neuromodulation. 2007 Apr;10(2):142-7. doi: 10.1111/j.1525-1403.2007.00102.x.

Spinal Cord Stimulation for the Treatment of Upper and Lower Extremity Neuropathic Pain due to Lyme Disease.

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1
Neurosurgical Clinic, Brescia University, Brescia, Italy.

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.

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