Skip to main content

Cortical Stimulation for Central Neuropathic Pain: 3-D Surface MRI for Easy Determination of the Motor Cortex

  • Conference paper

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 64))

Summary

Motor cortex electric stimulation has been reported to be effective for the treatment of central post-stroke pain and trigeminal neuropathic pain. Five patients with pain due to injury of the trigeminal nerve and with abnormalities of facial sensibility, as well as two patients suffering of a post-stroke thalamic pain, were subjected to stimulation applied epidurally on the motor cortex. Quadripolar electrodes were implanted under local anaesthesia and the precise location of the motor cortex was determined on three-dimentional surface MRI the day prior to surgery. In our experience, correct topographic localization of the electrode on the motor cortex seems to be crucial to obtain pain reduction.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Delmas A, Pertuiset B (1959) Topometrie cranio-encephalique chez THomme. Masson, Paris

    Google Scholar 

  2. Ebeling U, Steinmetz H, Huang Y, Kahn T (1989) Topography of the inferior precentral sulcus in MR imaging. AJNR 10: 937–942

    CAS  PubMed  Google Scholar 

  3. Enricke HH, Daiber G, Sonntag R, Straßer W, Lochner M, Schad LR, Lorenz WJ (1992) Interactive 3D graphics workstations in stereotaxy: clinical requirements, algorithms and solutions. Proc. visualization in biomediacal cumputing, Chapel Hill, NC, SPIE, 1808, pp 548–558

    Google Scholar 

  4. Meyerson BA, Lindblom U, Linderoth B, Lind G, Herregodts P (1993) Motor cortex stimulation as treatment of trigeminal neuropathic pain. Acta Neurochir (Wien) 58 [Suppl]: 150–153

    CAS  Google Scholar 

  5. Namba S, Nishimoto A (1988) Stimulation of internal capsule, thalamic sensory nucleus (VPM) and cerebral cortex inhibited deafferentation hyperactivity provoked after Gasserian ganglionectomy in cat. Acta Neurochir (Wien) 42 [Suppl]: 243–247

    Google Scholar 

  6. Talairach J, David M, Tournous P, Corredor H, Kvasina T (1957) Atlas d’ anatomie stéréotaxique. Masson, Paris

    Google Scholar 

  7. Tsubokawa T, Katayama Y, Yamamoto T, Hirayama T, Koyama S (1991) Chronic motor cortex stimulation for the treatment of central pain. Acta Neurochir (Wien) 52 [Suppl]: 137–139

    Article  CAS  Google Scholar 

  8. Tsubokawa T, Katayma Y, Yamamoto T, Hirayama T, Koyama S (1993) Chronic motor cortex stimulation in patients with thalamic pain. J Neurosurg 78: 393–401

    Article  CAS  PubMed  Google Scholar 

  9. van Veelen KWM (1994) Three-dimentsional visualisation of depth electroencephalography. In: Kupers R (ed) A look into the seeds of time. Leuven University Press, Leuven, pp 167–172

    Google Scholar 

  10. Wood CC, Spencer DD, Alison T (1988) Localization of human sensorimotor cortex during surgery by cortical surface recording of somatosensory evoked potentials. J Neurosurg 68: 99–111

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag

About this paper

Cite this paper

Herregodts, P., Stadnik, T., De Ridder, F., D’Haens, J. (1995). Cortical Stimulation for Central Neuropathic Pain: 3-D Surface MRI for Easy Determination of the Motor Cortex. In: Meyerson, B.A., Ostertag, C. (eds) Advances in Stereotactic and Functional Neurosurgery 11. Acta Neurochirurgica Supplementum, vol 64. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9419-5_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-9419-5_29

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9421-8

  • Online ISBN: 978-3-7091-9419-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics