Precentral cortex stimulation for the treatment of central neuropathic pain - Results of a prospective study in a 20-patient series

被引:68
作者
Mertens, P
Nuti, C
Sindou, M
Guenot, M
Peyron, R
Garcia-Larrea, L
Laurent, B
机构
[1] Univ Lyon 1, Dept Neurosurg, F-69365 Lyon, France
[2] Univ Lyon 1, Dept Funct Neurol, F-69365 Lyon, France
[3] Univ St Etienne, Dept Neurol, St Etienne, France
关键词
neuropathic pain; central pain; precentral cortex; electrical stimulation;
D O I
10.1159/000029769
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The authors report a series of 23 patients with central neuropathic pain who were treated with the recently developed technique of precentral cortex stimulation (PCS). Of the 20 patients with a follow-up of more than 1 year (mean of 23 months) 25% had an excellent, 35% a flood and 15% a fair relief of pain. In 25% the method failed. On the basis of these findings and the literature data (127 reported cases), the authors advocate PCS in patients with severe and medically refractory poststroke pain. Copyright (C) 2000 S. Karger AG, Basel.
引用
收藏
页码:122 / 125
页数:4
相关论文
共 13 条
  • [1] Chronic precentral stimulation in trigeminal neuropathic pain
    Ebel, H
    Rust, D
    Tronnier, V
    Boker, D
    Kunze, S
    [J]. ACTA NEUROCHIRURGICA, 1996, 138 (11) : 1300 - 1306
  • [2] Fujii M, 1997, NEUROL SURG TOKYO, V25, P315
  • [3] Positron emission tomography during motor cortex stimulation for pain control
    García-Larrea, L
    Peyron, R
    Mertens, P
    Grégoire, MC
    Lavenne, F
    Bonnefoi, F
    Mauguière, F
    Laurent, B
    Sindou, M
    [J]. STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 1997, 68 (1-4) : 141 - 148
  • [4] Herregodts P, 1995, ADV STER F, V11, P132
  • [5] HIRAYAMA T, 1994, STEREOT FUNCT NEUROS, V62, P295
  • [6] Hirayama T., 1990, PAIN, V5, P273, DOI [10.1016/0304-3959(90)92662-A, DOI 10.1016/0304-3959(90)92662-A]
  • [7] Poststroke pain control by chronic motor cortex stimulation: neurological characteristics predicting a favorable response
    Katayama, Y
    Fukaya, C
    Yamamoto, T
    [J]. JOURNAL OF NEUROSURGERY, 1998, 89 (04) : 585 - 591
  • [8] MEYERSON BA, 1993, ACTA NEUROCHIR, P150
  • [9] TRANSCRANIAL MAGNETIC COIL STIMULATION OF MOTOR CORTEX IN PATIENTS WITH CENTRAL PAIN
    MIGITA, K
    UOZUMI, T
    ARITA, K
    MONDEN, S
    [J]. NEUROSURGERY, 1995, 36 (05) : 1037 - 1039
  • [10] Nguyen JP, 1997, ADV STER F, V12, P54