DEEP BRAIN-STIMULATION - A REVIEW OF BASIC RESEARCH AND CLINICAL-STUDIES

被引:59
作者
DUNCAN, GH [1 ]
BUSHNELL, MC [1 ]
MARCHAND, S [1 ]
机构
[1] UNIV MONTREAL, CTR RECH SCI NEUROL, MONTREAL H3C 3J7, QUEBEC, CANADA
基金
英国医学研究理事会;
关键词
DEEP BRAIN STIMULATION; THALAMUS; (PAIN);
D O I
10.1016/0304-3959(91)90164-S
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Deep brain stimulation for pain control in humans was first used almost 30 years ago and has continued to receive considerable attention. Despite the large number of clinical reports describing pain relief, numerous studies have indicated that the results of these procedures vary considerably. In addition, many neurosurgeons find the procedures unpredictable, and considerable disagreement still exists regarding important issues related to the technique itself. This review gives an historical overview of the relevant basic and clinical literature and provides a critical examination of the clinical efficacy, choice of stimulation sites, parameters of stimulation, and effects on experimental pain. Finally, we give suggestions for future research that could more definitively determine the usefulness of deep brain stimulation for pain control.
引用
收藏
页码:49 / 59
页数:11
相关论文
共 120 条
[21]   EVIDENCE FOR OPIOID AND NON-OPIOID FORMS OF STIMULATION-PRODUCED ANALGESIA IN THE RAT [J].
CANNON, JT ;
PRIETO, GJ ;
LEE, A ;
LIEBESKIND, JC .
BRAIN RESEARCH, 1982, 243 (02) :315-321
[22]   NALOXONE DOES NOT CONSISTENTLY AFFECT INHIBITION OF SPINAL NOCICEPTIVE TRANSMISSION PRODUCED BY MEDIAL DIENCEPHALIC STIMULATION IN THE CAT [J].
CARSTENS, E ;
GUINAN, MJ ;
MACKINNON, JD .
NEUROSCIENCE LETTERS, 1983, 42 (01) :71-76
[24]  
COSYNS P, 1979, ADV PAIN RES THER, V3, P511
[25]   GENERALITY OF PAIN TOLERANCE [J].
DAVIDSON, PO ;
EVALYNE, C ;
MCDOUGAL.A .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1969, 13 (01) :83-&
[26]  
DIECKMANN G, 1982, APPL NEUROPHYSIOL, V45, P167
[27]   CONTRAST-MEDIUM CAUSES THE APPARENT INCREASE IN BETA-ENDORPHIN LEVELS IN HUMAN CEREBROSPINAL-FLUID FOLLOWING BRAIN-STIMULATION [J].
DIONNE, RA ;
MUELLER, GP ;
YOUNG, RF ;
GREENBERG, RP ;
HARGREAVES, KM ;
GRACELY, R ;
DUBNER, R .
PAIN, 1984, 20 (04) :313-321
[28]   AUTONOMIC MEASURES AND BEHAVIORAL INDEXES OF PAIN SENSITIVITY [J].
DOWLING, J .
PAIN, 1983, 16 (02) :193-200
[29]   THE CORRELATION OF MONKEY MEDULLARY DORSAL HORN NEURONAL-ACTIVITY AND THE PERCEIVED INTENSITY OF NOXIOUS HEAT STIMULI [J].
DUBNER, R ;
KENSHALO, DR ;
MAIXNER, W ;
BUSHNELL, MC ;
OLIVERAS, JL .
JOURNAL OF NEUROPHYSIOLOGY, 1989, 62 (02) :450-457
[30]   TASK-RELATED RESPONSES OF MONKEY MEDULLARY DORSAL HORN NEURONS [J].
DUNCAN, GH ;
BUSHNELL, MC ;
BATES, R ;
DUBNER, R .
JOURNAL OF NEUROPHYSIOLOGY, 1987, 57 (01) :289-310