Topiramate for phantom limb pain in an upper limb amputee: A case report

Objective: To increase the awareness of topiramate as a phantom limb pain treatment. Setting: Outpatient rehabilitation office in an urban academic center. Patient: 34-year-old white female who suffered a traumatic right upper limb amputation. Intervention: Oral topiramate at an initial dosage of 100 milligrams per day increased to 200 milligrams per day. Results and conclusion: After failure of multiple medications traditionally used to control phantom pain, the patient described significant relief with the use of oral topiramate. The authors suggest topiramate as an alternative approach to phantom limb pain treatment.