Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1

Neurofibromatosis type 1 (NF1) is a rare autosomal dominant disease involving the skin and central nervous system (CNS), and also characterized by skeletal and spinal schwannomas that may cause chronic neurogenic pain. Furthermore, pain in NF1 is underestimated, even though it has an impact on quali...

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Main Authors: Eleonora Virgilio, Domizia Vecchio, Paola Naldi, Roberto Cantello
Format: Article
Language:English
Published: SMC MEDIA SRL 2021-05-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2424
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author Eleonora Virgilio
Domizia Vecchio
Paola Naldi
Roberto Cantello
author_facet Eleonora Virgilio
Domizia Vecchio
Paola Naldi
Roberto Cantello
author_sort Eleonora Virgilio
collection DOAJ
description Neurofibromatosis type 1 (NF1) is a rare autosomal dominant disease involving the skin and central nervous system (CNS), and also characterized by skeletal and spinal schwannomas that may cause chronic neurogenic pain. Furthermore, pain in NF1 is underestimated, even though it has an impact on quality of life. Multiple sclerosis (MS) is the most common acquired demyelinating disease that may in later stages present with refractory spasticity, particularly in the lower limbs. Oromucosal cannabinoid sprays are currently available for spasticity treatment in MS, with encouraging results on MS pain, but few data have been reported regarding the use of cannabinoids in NF1. We report the successful treatment of chronic neurogenic pain and spasticity in a patient with co-occurrence of NF1 and MS after a poor response to standard approaches.
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spelling doaj.art-d6db65cea95948f6b566d6e35091ad122022-12-21T19:06:22ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942021-05-0110.12890/2021_0024242040Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1Eleonora Virgilio0Domizia Vecchio1Paola Naldi2Roberto Cantello3Neurology Unit, Maggiore della Carità Hospital, Department of Translational Medicine, University of Piemonte Orientale, Novara, ItalyNeurology Unit, Maggiore della Carità Hospital, Department of Translational Medicine, University of Piemonte Orientale, Novara, ItalyNeurology Unit, Maggiore della Carità Hospital, Department of Translational Medicine, University of Piemonte Orientale, Novara, ItalyNeurology Unit, Maggiore della Carità Hospital, Department of Translational Medicine, University of Piemonte Orientale, Novara, ItalyNeurofibromatosis type 1 (NF1) is a rare autosomal dominant disease involving the skin and central nervous system (CNS), and also characterized by skeletal and spinal schwannomas that may cause chronic neurogenic pain. Furthermore, pain in NF1 is underestimated, even though it has an impact on quality of life. Multiple sclerosis (MS) is the most common acquired demyelinating disease that may in later stages present with refractory spasticity, particularly in the lower limbs. Oromucosal cannabinoid sprays are currently available for spasticity treatment in MS, with encouraging results on MS pain, but few data have been reported regarding the use of cannabinoids in NF1. We report the successful treatment of chronic neurogenic pain and spasticity in a patient with co-occurrence of NF1 and MS after a poor response to standard approaches.https://www.ejcrim.com/index.php/EJCRIM/article/view/2424multiple sclerosisneurofibromatosis type 1spasticitychronic paincannabinoids
spellingShingle Eleonora Virgilio
Domizia Vecchio
Paola Naldi
Roberto Cantello
Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
European Journal of Case Reports in Internal Medicine
multiple sclerosis
neurofibromatosis type 1
spasticity
chronic pain
cannabinoids
title Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
title_full Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
title_fullStr Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
title_full_unstemmed Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
title_short Efficacy of Cannabinoids on Spasticity and Chronic Pain in a Patient with Co-occurrence of Multiple Sclerosis and Neurofibromatosis Type 1
title_sort efficacy of cannabinoids on spasticity and chronic pain in a patient with co occurrence of multiple sclerosis and neurofibromatosis type 1
topic multiple sclerosis
neurofibromatosis type 1
spasticity
chronic pain
cannabinoids
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2424
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