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Papers of the Week

2019 Jul




Burst or Conventional Peripheral Nerve Field Stimulation for Treatment of Neuropathic Facial Pain.


Manning A, FitzGerald J, Green A, Aziz T, Bojanic S, Garcia R O, Moir L, Edwards T
Neuromodulation. 2019 Jul; 22(5):645-652.
PMID: 30629320.


Trigeminal Neuropathic Pain (TNP) is a chronic facial pain syndrome caused by a lesion or disease affecting one or more branches of the trigeminal nerve. It may, for example, result from accidental injury to a branch of the trigeminal nerve by trauma or during surgery; it may also be idiopathic. TNP is typically constant, in contrast to most cases of the commoner trigeminal neuralgia. In some cases, pain may be refractory to pharmacological treatment. Peripheral nerve field stimulation is recognized as an effective minimally invasive surgical treatment option for this debilitating condition. To date, stimulation has used conventional tonic waveforms, which generate paraesthesia in the stimulated area. This is the first report of the use of paraesthesia-free burst pattern stimulation for TNP.