Peripheral Cortical and Deep Brain Stimulation

Although this chapter concentrates on the technique of SCS, it must be noted that neurostimulation can be used successfully at other locations in the peripheral and central nervous systems to provide analgesia.

Peripheral nerve stimulation was introduced by Wall, Sweet, and others38 in the mid-1960s. This technique has shown efficacy for peripheral nerve injury pain syndromes as well as CRPS, with the use of a carefully implanted paddle lead utilizing a fascial graft to help anchor the lead without traumatizing the nerve.39

Motor cortex and deep brain stimulation are techniques that have been explored to treat highly refractory neuropathic pain syndromes, including central pain, deafferentation syndromes, trigeminal neuralgia, and others (Figure 7.8).40 Deep brain stimulation has become a widely used technique for movement disorders, and much less so for painful indications, although there have been many case reports of utility in treating highly refractory central pain syndromes.41

Brain Blaster

Brain Blaster

Have you ever been envious of people who seem to have no end of clever ideas, who are able to think quickly in any situation, or who seem to have flawless memories? Could it be that they're just born smarter or quicker than the rest of us? Or are there some secrets that they might know that we don't?

Get My Free Ebook

Post a comment