Treatment of intractable abdominal pain patient with Bannayan-Riley-Ruvalcaba syndrome using spinal cord stimulation.

OBJECTIVE This case report presents an application of spinal cord stimulation to a patient with intractable abdominal pain Bannayan-Riley-Ruvalcaba syndrome, that conventional treatment failed to ameliorate. MEASUREMENTS The patient underwent an uneventful spinal cord stimulator (SCS) trial with percutaneous placement of 2 temporal 8-electrode epidural leads (Medtronic Inc, Minneapolis, Minnesota) to level T6-T7. RESULTS After experiencing excellent pain relief over the next 3 days, the patient was implanted with permanent leads and a rechargeable generator 4 weeks later and reported sustained pain relief. CONCLUSION Preliminary outcomes from this case suggest that spinal cord stimulation offers an alternative treatment option for select patients with intractable abdominal pain and Bannayan-Riley-Ruvalcaba (BRR) Syndrome.