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
[61]  
LEE MHM, 1985, J MED, V16, P417
[62]   METHODS FOR MICROSTIMULATION AND RECORDING OF SINGLE NEURONS AND EVOKED-POTENTIALS IN THE HUMAN CENTRAL NERVOUS-SYSTEM [J].
LENZ, FA ;
DOSTROVSKY, JO ;
KWAN, HC ;
TASKER, RR ;
YAMASHIRO, K ;
MURPHY, JT .
JOURNAL OF NEUROSURGERY, 1988, 68 (04) :630-634
[63]   SINGLE-UNIT ANALYSIS OF THE HUMAN VENTRAL THALAMIC NUCLEAR GROUP - SOMATOSENSORY RESPONSES [J].
LENZ, FA ;
DOSTROVSKY, JO ;
TASKER, RR ;
YAMASHIRO, K ;
KWAN, HC ;
MURPHY, JT .
JOURNAL OF NEUROPHYSIOLOGY, 1988, 59 (02) :299-316
[64]   CHARACTERISTICS OF THE BURSTING PATTERN OF ACTION-POTENTIALS THAT OCCURS IN THE THALAMUS OF PATIENTS WITH CENTRAL PAIN [J].
LENZ, FA ;
KWAN, HC ;
DOSTROVSKY, JO ;
TASKER, RR .
BRAIN RESEARCH, 1989, 496 (1-2) :357-360
[65]   TREATMENT OF CHRONIC PAIN BY DEEP BRAIN-STIMULATION - LONG-TERM FOLLOW-UP AND REVIEW OF THE LITERATURE [J].
LEVY, RM ;
LAMB, S ;
ADAMS, JE .
NEUROSURGERY, 1987, 21 (06) :885-893
[66]   MORPHINE-INDUCED AND STIMULATION-PRODUCED ANALGESIAS AT COINCIDENT PERIAQUEDUCTAL CENTRAL GRAY LOCI - EVALUATION OF ANALGESIC CONGRUENCE, TOLERANCE, AND CROSS-TOLERANCE [J].
LEWIS, VA ;
GEBHART, GF .
EXPERIMENTAL NEUROLOGY, 1977, 57 (03) :934-955
[67]   ACTIVATION OF STRIATAL DOPAMINE-RECEPTORS INDUCES PAIN INHIBITION IN RATS [J].
LIN, MT ;
WU, JJ ;
CHANDRA, A ;
TSAY, BL .
JOURNAL OF NEURAL TRANSMISSION, 1981, 51 (3-4) :213-222
[68]   RESPONSES OF MONKEY MEDULLARY DORSAL HORN NEURONS DURING THE DETECTION OF NOXIOUS HEAT STIMULI [J].
MAIXNER, W ;
DUBNER, R ;
KENSHALO, DR ;
BUSHNELL, MC ;
OLIVERAS, JL .
JOURNAL OF NEUROPHYSIOLOGY, 1989, 62 (02) :437-449
[69]   A PRIMATE MODEL FOR THE STUDY OF TONIC PAIN, PAIN TOLERANCE AND DIFFUSE NOXIOUS INHIBITORY CONTROLS [J].
MARCHAND, S ;
TRUDEAU, N ;
BUSHNELL, MC ;
DUNCAN, GH .
BRAIN RESEARCH, 1989, 487 (02) :388-391
[70]  
MARCHAND S, 1988, SOC NEUR ABSTR