Motor cortex electric stimulation for the treatment of neuropathic pain
OBJECTIVE: Motor cortex stimulation (MCS) is considered to be an effective treatment for chronic neuropathic pain. The aim of the present study was to assess the efficacy of MCS for treating neuropathic pain. METHOD: 27 patients with chronic neuropathic pain were operated. Electrodes were implanted...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Academia Brasileira de Neurologia (ABNEURO)
2010-12-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600018&lng=en&tlng=en |
| _version_ | 1811242703445295104 |
|---|---|
| author | Walter J. Fagundes-Pereyra Manoel Jacobsen Teixeira Nicolas Reyns Gustavo Touzet Sérgio Dantas Emmanuelle Laureau Serge Blond |
| author_facet | Walter J. Fagundes-Pereyra Manoel Jacobsen Teixeira Nicolas Reyns Gustavo Touzet Sérgio Dantas Emmanuelle Laureau Serge Blond |
| author_sort | Walter J. Fagundes-Pereyra |
| collection | DOAJ |
| description | OBJECTIVE: Motor cortex stimulation (MCS) is considered to be an effective treatment for chronic neuropathic pain. The aim of the present study was to assess the efficacy of MCS for treating neuropathic pain. METHOD: 27 patients with chronic neuropathic pain were operated. Electrodes were implanted with the use of an stereotactic frame. Electrophysiological evaluations (motor stimulation and somatosensory evoked potentials) were performed, with guidance by means of three-dimensional reconstruction of magnetic resonance images of the brain. 10 patients (37%) presented central neuropathic pain (post-stroke pain) and 17 others (63%) presented peripheral neuropathic pain (brachial plexus avulsion, phantom limb pain or trigeminal pain). RESULTS: In 15 patients (57.7%) the pain relief was 50% or more; while in ten patients (38.5%), more than 60% of the original pain was relieved. No differences were found in relation to central and peripheral neuropathic pain (p=0.90), pain location (p=0.81), presence of motor deficit (p=0.28) and pain duration (p=0.72). No major complications were observed. CONCLUSION: MCS was efficient for treating patients presenting chronic central or peripheral neuropathic pain. |
| first_indexed | 2024-04-12T13:54:50Z |
| format | Article |
| id | doaj.art-5e83bcd871154636903dbecff1de53b8 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-12T13:54:50Z |
| publishDate | 2010-12-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-5e83bcd871154636903dbecff1de53b82022-12-22T03:30:24ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272010-12-0168692392910.1590/S0004-282X2010000600018S0004-282X2010000600018Motor cortex electric stimulation for the treatment of neuropathic painWalter J. Fagundes-Pereyra0Manoel Jacobsen Teixeira1Nicolas Reyns2Gustavo Touzet3Sérgio Dantas4Emmanuelle Laureau5Serge Blond6University of LilleUniversidade de São PauloUniversity of LilleUniversity of LilleUniversity of LilleUniversity of LilleUniversity of LilleOBJECTIVE: Motor cortex stimulation (MCS) is considered to be an effective treatment for chronic neuropathic pain. The aim of the present study was to assess the efficacy of MCS for treating neuropathic pain. METHOD: 27 patients with chronic neuropathic pain were operated. Electrodes were implanted with the use of an stereotactic frame. Electrophysiological evaluations (motor stimulation and somatosensory evoked potentials) were performed, with guidance by means of three-dimensional reconstruction of magnetic resonance images of the brain. 10 patients (37%) presented central neuropathic pain (post-stroke pain) and 17 others (63%) presented peripheral neuropathic pain (brachial plexus avulsion, phantom limb pain or trigeminal pain). RESULTS: In 15 patients (57.7%) the pain relief was 50% or more; while in ten patients (38.5%), more than 60% of the original pain was relieved. No differences were found in relation to central and peripheral neuropathic pain (p=0.90), pain location (p=0.81), presence of motor deficit (p=0.28) and pain duration (p=0.72). No major complications were observed. CONCLUSION: MCS was efficient for treating patients presenting chronic central or peripheral neuropathic pain.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600018&lng=en&tlng=enestimulação elétrica do córtex motordor neuropáticador centraldor periféricatratamento |
| spellingShingle | Walter J. Fagundes-Pereyra Manoel Jacobsen Teixeira Nicolas Reyns Gustavo Touzet Sérgio Dantas Emmanuelle Laureau Serge Blond Motor cortex electric stimulation for the treatment of neuropathic pain Arquivos de Neuro-Psiquiatria estimulação elétrica do córtex motor dor neuropática dor central dor periférica tratamento |
| title | Motor cortex electric stimulation for the treatment of neuropathic pain |
| title_full | Motor cortex electric stimulation for the treatment of neuropathic pain |
| title_fullStr | Motor cortex electric stimulation for the treatment of neuropathic pain |
| title_full_unstemmed | Motor cortex electric stimulation for the treatment of neuropathic pain |
| title_short | Motor cortex electric stimulation for the treatment of neuropathic pain |
| title_sort | motor cortex electric stimulation for the treatment of neuropathic pain |
| topic | estimulação elétrica do córtex motor dor neuropática dor central dor periférica tratamento |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600018&lng=en&tlng=en |
| work_keys_str_mv | AT walterjfagundespereyra motorcortexelectricstimulationforthetreatmentofneuropathicpain AT manoeljacobsenteixeira motorcortexelectricstimulationforthetreatmentofneuropathicpain AT nicolasreyns motorcortexelectricstimulationforthetreatmentofneuropathicpain AT gustavotouzet motorcortexelectricstimulationforthetreatmentofneuropathicpain AT sergiodantas motorcortexelectricstimulationforthetreatmentofneuropathicpain AT emmanuellelaureau motorcortexelectricstimulationforthetreatmentofneuropathicpain AT sergeblond motorcortexelectricstimulationforthetreatmentofneuropathicpain |