Cortical stimulation for the treatment of thalamic pain. Report of a case
DOI:
https://doi.org/10.47924/neurotarget2009318Keywords:
central pain, motor cortex stimulation, target identification IMR, SSEP, P20/N20Abstract
Introduction: In an attempt to improve the treatment of central pain, numerous stimulation techniques were introduced. In 1973, in San Francisco, Hosobuchi announced the treatment of patients with intractable facial pain with stimulation of the internal capsule and the thalamus. It was in 1991, when T.Subokawa published the treatment of central pain through stimulation of the sensory-motor cortex.
Objective: Appropriate localization of the motor cortex area is fundamental for the effectiveness of the technique and to achieve satisfactory results, thus, improving the pain in these patients.
Case Report: A 52 years old woman who suffered a thalamic infarct four years ago with right hemibody pain and with more intensity in the right upper extremity. Traditional medications did not provide adequate pain relief, including barbiturates, gabapentin, and opiods. In order to relieve intratable pain, motor cortex stimulation was indicated.
Results: We have obtained a favourable result in the treatment of intractable pain in this patient. We could compare results with the devise on and off. Pain relief improved 4 points (10 to 6) on EVA scale.
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References
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Copyright (c) 2009 Alejandro Galati, Pablo Graff, Fabián Piedimonte
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The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
