title: Spinal cord stimulation for Raynaud's syndrome: long-term alleviation of bilateral pain with a single cervical lead.
abstract: BACKGROUND
  Spinal cord stimulation (SCS) has been described in a variety of neuropathic and vasospastic pain conditions including Raynaud's syndrome.
  
  
  METHODS
  We report here the outcome of single lead SCS in the case of a 49-year-old woman with severe Raynaud's syndrome, which had failed to respond to medical therapy.
  
  
  RESULTS
  With a single quadripolar cervical lead in midline position at the C2/C3 level sustained pain relief of the bilateral pain was accomplished. Pain scores sank from 7/10 to 2-3/10 on the nominal analog scale and remained stable more than nearly four years by now.
  
  
  CONCLUSIONS
  Treatment of bilateral pain in Raynaud's syndrome with SCS in a single technique is feasible. Advantages and disadvantages as compared with stimulation with bilateral leads are discussed.
authors: Interdisciplinary Pain Centre, University Hospital Freiburg, Breisacherstrasse 64, Freiburg, Germany. tilman.wolter@uniklinik-freiburg.de
authors: Tilman
authors: T
authors: Wolter
authors: Kristin
authors: K
authors: Kieselbach
mesh_terms: D002574:Cervical Vertebrae; D059350:Chronic Pain / Q000209:etiology / Q000628:therapy; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement; D011928:Raynaud Disease / Q000150:complications / Q000628:therapy; D013116:Spinal Cord / Q000502:physiology*; D013817:Thermography; D016896:Treatment Outcome