background: we report the analgesic efficacy of lumbar epidural adenosine injection in reducing the chronic neuropathic pain in a patient with primitive neuroectodermal tumor. report of the case: in this case report a 13-year-old male with primary neuroectodermal tumor (pnet) was administered in epidural space with adenosine to reduce his pain. the patient received 10ml of 0.25% ropivacaine and...