Turkish Journal of Physical Medicine and Rehabilitation

Percutaneous spinal cord stimulator for persistent neuropathic pain following cervical intramedullary ependymoma surgery

Ozlem Melike Eksi 1 ,Serdar Kokar 1 ,Savas Sencan 1 ,Osman Hakan Gunduz 1
1 Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye DOI : 10.5606/tftrd.2026.16620 This report presented a case of cervical spinal cord stimulation (SCS) application in a patient who experienced progressive arm and neck pain following cervical intramedullary ependymoma resection. A 40-year-old female patient with a history of cervical ependymoma surgery presented to our outpatient clinic with complaints of neck, back, and upper limb pain, as well as tingling and numbness in both hands. Conservative treatments were ineffective, and preimplantation pain was rated 10/10 on the numeric rating scale. Following cervical SCS implantation, pain decreased to 4/10. A successful outcome was achieved through SCS implantation, with electrodes placed percutaneously proximal to the lesion level, for the first time in the cervical region. Keywords : Central neuropathic pain, chronic pain, intramedullary ependymoma, neck pain, spinal cord stimulator