Abstract:
BACKGROUND:Motor cortex stimulation (MCS) is routinely used for the treatment of chronic neuropathic pain but its effect on quality of life remains uncertain. OBEJCTIVE:To systematically review the published literature on MCS and quality of life and report the effects of this therapy in a series of patients prospectively followed in our center. METHODS:The systematic literature review was conducted using the search words "motor cortex stimulation and pain and neurosurgery" and "motor cortex stimulation and pain and quality of life." Quality of life in our clinical trial was investigated in a series of 10 patients with chronic neuropathic pain prospectively followed for 12 mo after MCS. RESULTS:Two hundred eighteen nonreplicated articles were pooled for analysis. Of these, 6 described measures of quality of life in the pre- and postoperative period. In these studies, 64 patients with different clinical conditions associated with neuropathic pain were followed for 6 to 84 mo after MCS surgery. Improvement in quality of life ranged from 35% to 85%. In our clinical series, visual analog scale (VAS), SF-12 physical (PhysCS), and mental scores (MenCS) recorded 12 mo after MCS were improved by 60 ± 10% (P = .002), 50 ± 13% (P = .002), and 22 ± 6% (P = .01), respectively. No significant correlation was found between postoperative improvement in pain and either PhysCS (r = 0.18; P = .6) or MenCS (r = -0.24; P = .5). CONCLUSION:MCS improves quality of life in patients with chronic refractory neuropathic pain. Additional factors other than a simple analgesic effect may contribute to these results.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Parravano DC,Ciampi DA,Fonoff ET,Monaco B,Navarro J,Yeng LT,Teixeira MJ,Hamani Cdoi
10.1093/neuros/nyy060subject
Has Abstractpub_date
2019-02-01 00:00:00pages
451-456issue
2eissn
0148-396Xissn
1524-4040pii
4934775journal_volume
84pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::The author presents the results of primary cystoperitoneal shunting in 12 infants and children with developmental cysts in various intracranial locations. Preoperative studies were done in each child to rule out a brain tumor as the cause of the cyst and to determine whether communication existed between the cyst and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198106000-00002
更新日期:1981-06-01 00:00:00
abstract::A patient with air gun bullets in the 3rd ventricle associated with delayed ventricular hemorrhage is presented. Through an anterior transcallosal approach, the surgeon successfully removed the bullets without any significant permanent sequelae. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00022
更新日期:1987-02-01 00:00:00
abstract:OBJECTIVE:Currently, because of the precision of stereotactic radiosurgery, radiation can now be delivered by techniques that shape the radiation beam to the tissue target for a variety of clinical applications. This avoids unnecessary and potentially damaging irradiation of surrounding tissues inherent in conventional...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000330404.37092.3E
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:Postcraniotomy subdural empyemas and epidural abscesses are uncommon, potentially lethal, complications of neurosurgery. Patients with these complications may be difficult to manage, and mortality can occur. METHODS:Between 1997 and 2006, the authors treated eight patients with recalcitrant postcraniotomy su...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000249253.63546.19
更新日期:2007-02-01 00:00:00
abstract::To evaluate the risk of tonsillar herniation, the caudal pole of the cerebellar tonsil in posterior fossa mass lesions and anomalies was investigated with magnetic resonance imaging. The cerebellar tonsil was clearly demonstrated in relation to the surrounding structures on T1-weighted images in the paramedian or midl...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198801010-00012
更新日期:1988-01-01 00:00:00
abstract::Combining the power of stereotactic precision with open craniotomy in a stereotactic craniotomy technique decreases surgical time, morbidity, and postoperative hospitalization. Indications for its use are deep intrinsic masses 3.5 cm or less in diameter; small, superficial lesions otherwise difficult to localize; and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Although endovascular technique and related devices continue to improve, recanalization of embolized aneurysm remains a pitfall of this approach. The problem of how to treat the recanalized aneurysm needs to be addressed. OBJECTIVE:To determine the outcomes of patients undergoing repeat embolization for rec...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182647a97
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Although there are several large-species animal models for saccular aneurysms, there is a need for a simple, reproducible saccular aneurysm model in mice. OBJECTIVE:To develop a murine saccular aneurysm model, which replicates key characteristics that occur in the formation of human cerebral aneurysms. MET...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365616.46414.2B
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Stereotactic radiosurgery requires the highest degree of accuracy in target identification and localization. When targeting paraspinal lesions, the CyberKnife radiosurgical system (Accuray, Inc., Sunnyvale, CA) uses implanted stainless steel fiducials. The purpose of this study was to evaluate the total syste...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000141080.54647.11
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Our goal was to increase the safety of anterior cervical discectomy, a routine surgery performed by neurosurgeons worldwide, in the face of vertebral artery (VA) anomalies. CLINICAL PRESENTATION:A 59-year-old woman had an intraoperative injury of the left VA during elective anterior cervical discectomy and f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000374858.18717.33
更新日期:2010-09-01 00:00:00
abstract::Twenty patients in whom the diagnosis of an intracranial arteriovenous malformation was suspected either by the history and clinical findings or by abnormal periorbital Doppler flow are discussed. Sixteen patients had only minor complaints or inconclusive signs or were clinically asymptomatic; 4 others presented with ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199204000-00009
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVE:A two-stage approach using orbitozygomatic (OZ) and retrosigmoid (RS) craniotomies is one option for the management of petroclival lesions with supratentorial extension. The goal of this study was to investigate the supratentorial and infratentorial exposures of the clivus obtained through this staged approac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000326013.99562.eb
更新日期:2008-05-01 00:00:00
abstract::A compound of methylcellulose-silicone expanding progressively over a 1-week period by moisture absorption was implanted in the midthoracic epidural space of 17 Sprague Dawley adult rats. When the animals became paraplegic 6.3 +/- 1.6 days later, they were randomized into three groups: untreated control (n = 5), high ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198806010-00005
更新日期:1988-06-01 00:00:00
abstract:BACKGROUND:In Asian populations, moyamoya disease has a well-defined phenotype including a bimodal age of presentation with children typically presenting with ischemic phenomena and adults presenting with hemorrhage. Studies have provided evidence that moyamoya disease in the United States may exhibit a different pheno...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318253ab8e
更新日期:2012-07-01 00:00:00
abstract::Intimal proliferation is thought to be initiated by the migration and proliferation of smooth muscle cells after endothelial damage. These changes may be induced, in part, by mitogenic growth factors such as insulin-like growth factor-1 (IGF-1). This study was designed to investigate the role of locally synthesized IG...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199407000-00015
更新日期:1994-07-01 00:00:00
abstract::The effect of mannitol on focal cerebral ischemia in cynomolgus monkeys was studied. After the implantation of a snare ligature about the right middle cerebral artery (MCA) and of deep electrodes for measurement of cerebral blood flow, unanesthetized animals underwent 4-hour MCA occlusion. Ten monkeys were untreated, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::The authors examined the psychosocial sequelae of head trauma at 1 month after injury in a group of 102 adult head-injured patients representing a broad range of severity of trauma. One hundred two control subjects selected from friends of the head-injured patients were used for comparison purposes. Outcome was determ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198404000-00001
更新日期:1984-04-01 00:00:00
abstract::The Moscow Institute of Neurosurgery was established in 1932. The institute's founders were Nikolai Nilovich Burdenko, the surgeon (his name was later conferred on the institute), and Vasily Vasilyevich Kramer, the neurologist. This article presents the institute's history and its activities in different periods, incl...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1097/00006123-199701000-00039
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:WHO Grade I meningiomas are common, usually benign, primary brain tumors. Little is known about the health-related quality of life (HRQOL) of patients with meningiomas. OBJECTIVE:To investigate the long-term HRQOL in patients with meningiomas and its association with cognitive deficits and epilepsy. METHOD...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318212badb
更新日期:2011-07-01 00:00:00
abstract::Review of 1105 records patients with penetrating craniocerebral injuries incurred in the Korean War revealed 163 cases with air sinus wounds, an incidence of 14.8%. The characteristics of these wounds and their surgical management have been described. Foremost among the complications of air sinus wounds are the develo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198310000-00005
更新日期:1983-10-01 00:00:00
abstract::A case of ulnar neuropathy at the elbow produced by spontaneous intraneural hemorrhage in a patient with acquired immunodeficiency syndrome and thrombocytopenia is reported. Intraneural hemorrhage in patients with bleeding disorders occurs infrequently. It consists of acute intrafascicular bleeding, presumably produci...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199102000-00019
更新日期:1991-02-01 00:00:00
abstract::Endovascular neurosurgical procedures are complex, requiring significant planning, foresight, and coordination. The neuroanesthetist is an integral part of these procedures, organizing efforts of the technicians and nurses and responding to the needs of the neurointerventionalist. The purpose of this article is to rev...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000237337.38375.90
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). OBJECTIVE:To report our interventional experience in AIS from CAD and to compare it with conservative treatment of CAD with intravenous thrombolysis (IVT) via systematic review. ...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000001072
更新日期:2016-05-01 00:00:00
abstract::Thirty-five consecutive adults with Chiari malformation and progressive symptoms underwent surgical treatment at a single institution over a 3-year period. All patients underwent magnetic resonance imaging scan before and after surgery. Images of the craniovertebral junction confirmed tonsillar herniation in all cases...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Although transarterial regional hypothermia is an attractive alternative to general hypothermia, its efficacy and underlying mechanisms remain unclear. OBJECTIVE:To confirm transarterial regional hypothermia therapeutic effects on ischemia/reperfusion (I/R) injury and to elucidate the mechanisms responsible...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001088
更新日期:2016-07-01 00:00:00
abstract::A new head-positioning system has been developed to hold the head firmly during the performance of a computed tomograhic scan and to position the head reproducibly during repeat scans. This can be used to maintain the head in position during long scanning sessions, to relate a lesion to landmarks on scout views, to fo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198008000-00006
更新日期:1980-08-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Focal or diffuse corpus callosal changes can occur in patients with active hydrocephalus who undergo shunting procedures. The neural compression caused by active hydrocephalus and the conditions that follow ventricular shunting may contribute to the development of these changes. CLINICAL PRESE...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199708000-00037
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Anterior clinoidectomy is an essential preliminary step for parasellar and pericavernous sinus surgery. Endoscopy is a widely accepted modality for neurosurgical strategies and is becoming more important in treating conditions involving the cranial base. OBJECTIVE:To determine the feasibility of endoscopic ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821144e5
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Stereotactic radiosurgery (SRS) has been performed on patients with cerebral arteriovenous malformations (AVMs) for over 40 years. OBJECTIVE:To evaluate the impact of treatment period on obliteration, intracranial hemorrhage (ICH), and radiation-induced complications (RICs). METHODS:Retrospective compariso...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001085
更新日期:2016-04-01 00:00:00
abstract::The simple pathoanatomic concept that a narrowed spinal canal causes compression of the enclosed cord, leading to local tissue ischemia, injury, and neurological impairment, fails to explain the entire spectrum of clinical findings observed in cervical spondylotic myelopathy. A growing body of evidence indicates that ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:
更新日期:2005-05-01 00:00:00