Results in 60 cases of deep brain stimulation for chronic intractable pain.

Results in 60 cases of deep brain stimulation for chronic intractable pain.
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脑深部刺激治疗慢性顽固性疼痛60例结果。

DOI:
10.1159/000101594
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发表时间:
1982
期刊:
Applied neurophysiology
影响因子:
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通讯作者:
R. Plotkin
R. Plotkin
中科院分区:
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文献类型:
--
作者:
R. Plotkin

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在过去的3年半里,有60例患者植入了深部脑刺激器。46例患者接受PVG刺激治疗外周疼痛,2例接受PVG植入治疗中枢疼痛,12例接受特定感觉核刺激治疗中枢疼痛。在PVG病例中,80%的疼痛完全缓解或仅轻微残留疼痛,20%失败。那些失败的人可能是不应该被选中的糟糕的候选人。在特定的感觉核刺激病例中,只有33%的人对他们的结果感到满意,50%的人完全失败。2例出现早期并发症(脑室内出血),4例出现晚期并发症(败血症和电极漂移)。
Sixty cases have had deep brain stimulators implanted in the past 3 1/2 years. Forty-six cases have had PVG stimulation for peripheral pain, two PVG implants for central pain, and 12 have had specific sensory nucleus stimulation for central pain. Of the PVG cases, 80% have total pain relief or only slight residual pain, and 20% have failed. Those that have failed were probably poor candidates who should not have been selected. Of the specific sensory nucleus stimulation cases, only 33% are satisfied with their results and 50% have totally failed. Two cases had early complications (intraventricular haemorrhage) and four had late complications (sepsis and electrode drift).