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American Journal of Hospice and Palliative Medicine®
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Article

Successful Treatment of an Intractable Postherpetic Neuralgia (PHN) Using Peripheral Nerve Field Stimulation (PNFS)

Surjya Prasad Upadhyay, MD, Shiv Pratap Rana, MD, Seema Mishra, MD, and Sushma Bhatnagar, MD*

* To whom correspondence should be addressed. E-mail: shumob{at}yahoo.com.


   Abstract

Postherpetic neuralgia (PHN) is a chronic neuropathic pain syndrome that arises as a sequel of herpes zoaster eruption. The treatment of postherpetic neuralgia is medically challenging and often frustrating in some situation as the exact mechanism of neuralgia is poorly understood and multiple and complex pathophysiology is postulated requiring poly pharmacy, which itself leads to many side effects. Here, we present a successful management of supra-orbital PHN using peripheral nerve field stimulation (PNFS), which was refractory to the commonly used pharmacological treatment. After successful trial stimulation, permanent stimulator was placed successfully, patient medication were tapered off within 2 weeks. At present, patient is in 8-week poststimulation with excellent pain relief, without any side effect.

First published on August 21, 2009
American Journal of Hospice and Palliative Medicine® 2009, doi:10.1177/1049909109342089


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