scholarly journals Successful Treatment of Occipital Neuralgia in a Pediatric Patient with the Use of Peripheral Nerve Stimulator: A Case Report

2021 ◽  
pp. 193-196
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Pediatric Patient ◽  
Ventriculoperitoneal Shunt ◽  
Substantial Reduction ◽  
Occipital Neuralgia ◽  
Nerve Stimulator ◽  
Nerve Blocks ◽  
Peripheral Nerve Stimulator ◽  
Psychological Therapies

BACKGROUND: Neuromodulation is a commonly used technique in adult pain management, with current off-label use of peripheral nerve stimulators for the treatment of occipital neuralgia. This targeted therapy can help avoid systemic medications and treat refractory symptoms. CASE REPORT: We present a 17-year-old boy with significant lesser occipital neuralgia and hydrocephalus status post ventriculoperitoneal shunt placement. He had occipital neuralgia treatment failures with both medication trials and surgical decompression in conjunction with physical and psychological therapies, eventually requiring weekly lesser occipital nerve blocks for pain relief. Our patient experienced a substantial reduction in pain and increase in functional recovery after the placement of a permanent peripheral nerve stimulator without disruption of his ventriculoperitoneal shunt. CONCLUSION: Peripheral nerve stimulator implantation can be safe and efficacious for the treatment of refractory occipital neuralgia in a pediatric patient with an ipsilateral ventriculoperitoneal shunt. KEY WORDS: Peripheral nerve stimulation, occipital neuralgia, pediatric, chronic pain, neuromodulation

scholarly journals One Hundred Sciatic Nerve Blocks: A Comparison of Localisation Techniques

1993 ◽  
Vol 21 (1) ◽  
pp. 76-78 ◽  
Author(s):  
M. J. Davies ◽  
D. P. McGlade
Keyword(s):  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Vascular Disease ◽  
Lower Limb ◽  
Positive Response ◽  
Success Rates ◽  
Nerve Stimulator ◽  
Nerve Blocks ◽  
Peripheral Nerve Stimulator ◽  
Reliable Technique

One hundred sciatic nerve blocks performed for surgery related to lower limb vascular disease were prospectively audited with respect to the techniques used for sciatic nerve localisation and the success rates achieved. Utilising a 22 gauge Quincke point needle, sciatic nerve localisation was performed by initially searching for paraesthesia, followed by the use of a low powered peripheral nerve stimulator. Overall there were 89 successful blocks. Paraesthesia was found in only 44 cases of which 41 were subsequently judged to be successful blocks. A positive response to the nerve stimulator was achieved in 95 cases of which 87 went on to have successful blocks. Our findings suggest that either eliciting paraesthesia or a positive response to the peripheral nerve stimulator carries a high correlation with subsequent successful block, but that the use of the nerve stimulator provides a more consistent and reliable technique for nerve localisation.

scholarly journals Lead fracture of peripheral nerve stimulator for brachial plexopathy -a case report-

2018 ◽  
Vol 71 (5) ◽  
pp. 407-410
Author(s):  
Shu Chung Choi ◽  
Ji Seon Chae ◽  
Youn Jin Kim ◽  
Jin Young Chon ◽  
Ho Sik Moon
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Brachial Plexopathy ◽  
Nerve Stimulator ◽  
Peripheral Nerve Stimulator ◽  
Lead Fracture

Prospective case series on the use of peripheral nerve stimulation for focal mononeuropathy treatment

2019 ◽  
Vol 9 (6) ◽  
pp. 551-558 ◽  
Author(s):  
Jessica Oswald ◽  
Varun Shahi ◽  
Krishnan V Chakravarthy
Keyword(s):  
Peripheral Nerve ◽  
Case Series ◽  
Suprascapular Nerve ◽  
Intercostal Nerve ◽  
Nerve Stimulator ◽  
Patient Case ◽  
Peripheral Nerve Stimulator ◽  
Pain Scores ◽  
Early Results ◽  
Prospective Case Series

Aim: This case series looks at outcomes in 39 patients implanted using the Bioness Stimrouter system on various isolated mononeuropathies. Patients & methods: A case series of 39 patients with a total of 42 implants were enrolled starting August 2017 at various pain management centers. Results: Of 39 patients studied, 78% of the participants noticed an improvement in their pain. There was a 71% reduction in pain scores with the average preprocedure score of 8 improving to 2 post-implant. Participants noted on average a 72% improvement in activity with the greatest observed in the brachial plexus (80%) and suprascapular nerve (80%) and smallest in the intercostal nerve (40%). Approximately 89% of those implanted with a peripheral nerve stimulator experienced a greater than 50% reduction in opioid consumption. Conclusion: Peripheral nerve stimulators are a new, minimally invasive neuromodulation modality that shows promising early results in our 39-patient case series.

Some Hints in Using the Peripheral Nerve Stimulator

1973 ◽  
Vol 52 (3) ◽  
pp. 322
Author(s):  
HENRY ROSENBERG ◽  
JUNE CARTER ◽  
AGNES MacBETH
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulator ◽  
Peripheral Nerve Stimulator

scholarly journals A CONSTANT CURRENT PERIPHERAL NERVE STIMULATOR (NEUROSTIM T4)

1986 ◽  
Vol 58 (12) ◽  
pp. 1443-1446 ◽  
Author(s):  
T. POLLMAECHER ◽  
H. STEIERT ◽  
W. BUZELLO
Keyword(s):  
Peripheral Nerve ◽  
Constant Current ◽  
Nerve Stimulator ◽  
Peripheral Nerve Stimulator

A Portable Peripheral Nerve-Stimulator

1965 ◽  
Vol 26 (2) ◽  
pp. 224-226 ◽  
Author(s):  
H. C. CHURCHILL-DAVIDSON
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulator ◽  
Peripheral Nerve Stimulator
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