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Published on: February 11, 2011
Four-Extremity Neurostimulation Using Two Cervical Octapolar Leads and High Frequency of 10 kHz
Shervin Harandi1, Leonardo Kapural2
1Pain Management Fellowship Program, Department of Anesthesiology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina, U.S.A.
Objectives And Methods:
A few published reports describe successful clinical use of low-frequency spinal cord stimulation (SCS) in the cervical spine resulting in bilateral upper and lower extremity pain relief. A major side-effect when using this modality of SCS is the uneven intensity of paresthesias, which are frequently excessive in upper extremities while attempting to achieve optimal paresthesia coverage in all 4 extremities.
Results And Conclusions:
Here we describe a successful case of high-frequency SCS at 10 kHz where profound control of neuropathic pain of all 4 extremities was achieved without the complication of paresthesias. Discussed are future implications of such therapy.

