Deep brain stimulation for neuropathic cephalalgia

被引:38
作者
Green, AL
Owen, SLF
Davies, P
Moir, L
Aziz, TZ
机构
[1] Radcliffe Infirm, Dept Neurosurg, Oxford OX2 6HE, England
[2] Univ Oxford, Dept Physiol, Oxford, England
关键词
cephalalgia; deep brain stimulation; McGill's Pain Questionnaire; SF-36;
D O I
10.1111/j.1468-2982.2005.01068.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this study was to determine the efficacy of deep brain stimulation (DBS) in the treatment of various types of intractable head and facial pains. Seven patients underwent the insertion of DBS electrodes into the periventricular/periaqueductal grey region and/or the ventroposteromedial nucleus of the thalamus. We have shown statistically significant improvement in pain scores (visual analogue and McGill's) as well as health-related quality of life (SF-36v2) following surgery. There is wide variability in patient outcomes but, overall, DBS can be an effective treatment. Our results are compared with the published literature and electrode position for effective analgesia is discussed.
引用
收藏
页码:561 / 567
页数:7
相关论文
共 28 条
[1]  
Aaronson N K, 1992, Qual Life Res, V1, P349, DOI 10.1007/BF00434949
[2]   Deep brain stimulation for movement disorders and pain [J].
Bittar, RG ;
Burn, SC ;
Bain, PG ;
Owen, SL ;
Joint, C ;
Shlugman, D ;
Aziz, TZ .
JOURNAL OF CLINICAL NEUROSCIENCE, 2005, 12 (04) :457-463
[3]   Deep brain stimulation for phantom limb pain [J].
Bittar, RG ;
Otero, S ;
Carter, H ;
Aziz, TZ .
JOURNAL OF CLINICAL NEUROSCIENCE, 2005, 12 (04) :399-404
[4]   VALIDATING THE SF-36 HEALTH SURVEY QUESTIONNAIRE - NEW OUTCOME MEASURE FOR PRIMARY CARE [J].
BRAZIER, JE ;
HARPER, R ;
JONES, NMB ;
OCATHAIN, A ;
THOMAS, KJ ;
USHERWOOD, T ;
WESTLAKE, L .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 305 (6846) :160-164
[5]   Stimulation of the posterior hypothalamus for treatment of chronic intractable cluster headaches: First reported series [J].
Franzini, A ;
Ferroli, P ;
Leone, M ;
Broggi, G .
NEUROSURGERY, 2003, 52 (05) :1095-1099
[6]   Post-herpetic trigeminal neuralgia treated with deep brain stimulation [J].
Green, AL ;
Nandi, D ;
Armstrong, G ;
Carter, H ;
Aziz, T .
JOURNAL OF CLINICAL NEUROSCIENCE, 2003, 10 (04) :512-514
[7]  
Gybels J, 2001, ACTA NEUROL BELG, V101, P65
[8]   Assessment of the SF-36 version 2 in the United Kingdom [J].
Jenkinson, C ;
Stewart-Brown, S ;
Petersen, S ;
Paice, C .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1999, 53 (01) :46-50
[9]   Investigation of quality of life, mood, pain, disability, and disease status in primary systemic vasculitis [J].
Koutantji, M ;
Harrold, E ;
Lane, SE ;
Pearce, S ;
Watts, RA ;
Scott, DGI .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2003, 49 (06) :826-837
[10]   Deep brain stimulation for intractable chronic cluster headache: proposals for patient selection [J].
Leone, M ;
May, A ;
Franzini, A ;
Broggi, G ;
Dodick, D ;
Rapoport, A ;
Goadsby, PJ ;
Schoenen, J ;
Bonavita, V ;
Bussone, G .
CEPHALALGIA, 2004, 24 (11) :934-937