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Pediatric neuropathic pain (NP) is a debilitating condition that significantly impacts the quality of life of affected children and their families. This condition presents unique challenges in diagnosis and management, especially when considering developmental factors and communication barriers. Limited literature exists on pediatric NPs, making it essential to conduct a well-designed systematic review to address this clinical practice gap and guide future research efforts. This review aimed to gather published data and expert opinions on the challenges of diagnosing and treating neuropathic pain (NP) in children. Additionally, we aimed to summarize different treatment approaches that can be used. We intend to provide a comprehensive understanding of SCAs, covering underlying mechanisms, diagnostic criteria, treatment strategies, and future directions, to offer guidance for clinical practice and research. We conducted a systematic literature review in databases such as PubMed and Google Scholar. We included relevant studies, reviews and clinical guidelines published in the last two decades to gain an overall understanding of the issue. In conclusion, pediatric neuropathic pain is a challenging problem that necessitates a comprehensive and multidisciplinary approach to diagnosis and treatment. By addressing the distinctive aspects of neuropathic pain in children and utilizing both medication-based and non-medication-based treatments, healthcare providers can enhance the quality of life for these young patients. Ongoing research and clinical advancements are crucial for deepening our knowledge and improving the management of pediatric neuropathic pain. [ABSTRACT FROM AUTHOR]