Quality of Life After Motor Cortex Stimulation: Clinical Results and Systematic Review of the Literature.

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

Neurosurgery

journal_title

Neurosurgery

authors

Parravano DC,Ciampi DA,Fonoff ET,Monaco B,Navarro J,Yeng LT,Teixeira MJ,Hamani C

doi

10.1093/neuros/nyy060

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

451-456

issue

2

eissn

0148-396X

issn

1524-4040

pii

4934775

journal_volume

84

pub_type

杂志文章
  • Intracranial developmental cysts in children: treatment by cystoperitoneal shunting.

    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

    authors: Stein SC

    更新日期:1981-06-01 00:00:00

  • Successful removal of air gun bullets from the third ventricle.

    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

    authors: Kojima T,Waga S,Kubo Y,Shimizu T

    更新日期:1987-02-01 00:00:00

  • Stereotactic radiosurgery improves locomotor recovery after spinal cord injury in rats.

    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

    authors: Zeman RJ,Wen X,Ouyang N,Rocchio R,Shih L,Alfieri A,Moorthy C,Etlinger JD

    更新日期:2008-11-01 00:00:00

  • Free flap transfer for the treatment of intractable postcraniotomy subdural empyemas and epidural abscesses.

    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

    authors: Mikami T,Minamida Y,Sugino T,Koyanagi I,Yotsuyanagi T,Houkin K

    更新日期:2007-02-01 00:00:00

  • Tonsillar herniation on magnetic resonance imaging.

    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

    authors: Ishikawa M,Kikuchi H,Fujisawa I,Yonekawa Y

    更新日期:1988-01-01 00:00:00

  • Stereotactic craniotomy: methods and results using the Brown-Roberts-Wells stereotactic frame.

    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:

    authors: Moore MR,Black PM,Ellenbogen R,Gall CM,Eldredge E

    更新日期:1989-10-01 00:00:00

  • Does stent implantation improve the result of repeat embolization in recanalized aneurysms?

    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

    authors: Cho YD,Lee JY,Seo JH,Lee SJ,Kang HS,Kim JE,Son YJ,Jung KH,Kwon OK,Han MH

    更新日期:2012-12-01 00:00:00

  • A novel murine elastase saccular aneurysm model for studying bone marrow progenitor-derived cell-mediated processes in aneurysm formation.

    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

    authors: Hoh BL,Velat GJ,Wilmer EN,Hosaka K,Fisher RC,Scott EW

    更新日期:2010-03-01 00:00:00

  • An anthropomorphic phantom study of the accuracy of Cyberknife spinal radiosurgery.

    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

    authors: Yu C,Main W,Taylor D,Kuduvalli G,Apuzzo ML,Adler JR Jr

    更新日期:2004-11-01 00:00:00

  • Vertebral artery injury during cervical discectomy and fusion in a patient with bilateral anomalous arteries in the disc space: case report.

    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

    authors: Gantwerker BR,Baaj AA,Maughan PH,McDougall CG,White WL

    更新日期:2010-09-01 00:00:00

  • Noninvasive assessment of intracranial fistulas and other small arteriovenous malformations.

    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

    authors: Sommer C,Müllges W,Ringelstein EB

    更新日期:1992-04-01 00:00:00

  • Quantitative analysis of exposure of staged orbitozygomatic and retrosigmoid craniotomies for lesions of the clivus with supratentorial extension.

    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

    authors: Little AS,Jittapiromsak P,Crawford NR,Deshmukh P,Preul MC,Spetzler RF,Bambakidis NC

    更新日期:2008-05-01 00:00:00

  • High dose versus low dose dexamethasone in experimental epidural spinal cord compression.

    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

    authors: Delattre JY,Arbit E,Rosenblum MK,Thaler HT,Lau N,Galicich JH,Posner JB

    更新日期:1988-06-01 00:00:00

  • Moyamoya disorder in the United States.

    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

    authors: Starke RM,Crowley RW,Maltenfort M,Jabbour PM,Gonzalez LF,Tjoumakaris SI,Randazzo CG,Rosenwasser RH,Dumont AS

    更新日期:2012-07-01 00:00:00

  • Insulin-like growth factor-1 in the arterial wall after exposure to periarterial blood.

    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

    authors: Kasuya H,Weir BK,Shen YJ,Tredget EE,Ghahary A

    更新日期:1994-07-01 00:00:00

  • Effect of mannitol on experimental focal ischemia in awake monkeys.

    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:

    authors: Peña H,Gaines C,Suess D,Crowell RM,Waggener JD,DeGirolami U

    更新日期:1982-10-01 00:00:00

  • Psychosocial functioning at 1 month after head injury.

    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

    authors: McLean A Jr,Dikmen S,Temkin N,Wyler AR,Gale JL

    更新日期:1984-04-01 00:00:00

  • The Burdenko Neurosurgery Institute: past, present, future.

    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

    authors: Konovalov AN,Yartsev VV,Likhterman LB

    更新日期:1997-01-01 00:00:00

  • Long-term impact of cognitive deficits and epilepsy on quality of life in patients with low-grade meningiomas.

    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

    authors: Waagemans ML,van Nieuwenhuizen D,Dijkstra M,Wumkes M,Dirven CM,Leenstra S,Reijneveld JC,Klein M,Stalpers LJ

    更新日期:2011-07-01 00:00:00

  • Air sinus wounds: an analysis of 163 consecutive cases incurred in the Korean War, 1950-1952.

    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

    authors: Arendall RE,Meirowsky AM

    更新日期:1983-10-01 00:00:00

  • Neuropathy caused by spontaneous intraneural hemorrhage: case report.

    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

    authors: Poppi M,Staffa G,Martinelli P,Fabrizi AP,Giuliani G

    更新日期:1991-02-01 00:00:00

  • Anesthesia for endovascular neurosurgery.

    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

    authors: Armonda RA,Vo AH,Dunford J,Bell RS

    更新日期:2006-11-01 00:00:00

  • Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review.

    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

    authors: Haussen DC,Jadhav A,Jovin T,Grossberg JA,Grigoryan M,Nahab F,Obideen M,Lima A,Aghaebrahim A,Gulati D,Nogueira RG

    更新日期:2016-05-01 00:00:00

  • Symptomatic Chiari malformation in adults: a new classification based on magnetic resonance imaging with clinical and prognostic significance.

    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:

    authors: Pillay PK,Awad IA,Little JR,Hahn JF

    更新日期:1991-05-01 00:00:00

  • Transarterial Regional Brain Hypothermia Inhibits Acute Aquaporin-4 Surge and Sequential Microvascular Events in Ischemia/Reperfusion Injury.

    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

    authors: Kurisu K,Abumiya T,Nakamura H,Shimbo D,Shichinohe H,Nakayama N,Kazumata K,Shimizu H,Houkin K

    更新日期:2016-07-01 00:00:00

  • New head-positioning system for use with computed tomographic scanning.

    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

    authors: Kaufman HH,Gildenberg PL

    更新日期:1980-08-01 00:00:00

  • Corpus callosal changes associated with hydrocephalus: a report of two cases.

    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

    authors: Suh DY,Gaskill-Shipley M,Nemann MW,Tureen RG,Warnick RE

    更新日期:1997-08-01 00:00:00

  • Endoscopic extradural anterior clinoidectomy via supraorbital keyhole: a cadaveric study.

    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

    authors: Komatsu F,Komatsu M,Inoue T,Tschabitscher M

    更新日期:2011-06-01 00:00:00

  • Stereotactic Radiosurgery for Arteriovenous Malformations: The Effect of Treatment Period on Patient Outcomes.

    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

    authors: Pollock BE,Link MJ,Stafford SL,Garces YI,Foote RL

    更新日期:2016-04-01 00:00:00

  • Stretch-associated injury in cervical spondylotic myelopathy: new concept and review.

    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:

    authors: Henderson FC,Geddes JF,Vaccaro AR,Woodard E,Berry KJ,Benzel EC

    更新日期:2005-05-01 00:00:00