caa a22 4500 477108725 CHVBK 20180405111602.0 cr unu---uuuuu 170330e19961101xx s 000 0 eng 10.1007/BF01411059 doi (NATIONALLICENCE)springer-10.1007/BF01411059 Chronic precentral stimulation in trigeminal neuropathic pain [Elektronische Daten] [H. Ebel, D. Rust, V. Tronnier, D. Böker, S. Kunze] Summary: The results of Deep Brain Stimulation in deafferentation pain syndromes, in particular in thalamic pain, indicate that excellent long-term pain relief can hardly ever be achieved. We report 7 cases using Motor-Cortex-Stimulation for treating severe trigeminal neuropathic pain syndromes, i.e., dysaesthesia, anaesthesia dolorosa and postherpetic neuralgia. The first implantation of the stimulation device for precentral cerebral stimulation was performed in June 1993, the last in September 1995. In all but one case the impulse-generator was implanted after a successful period of test stimulation. Successful means a pain reduction of more than 50% as assessed with a Visual Analogue Scale. Excluding one case, in whom a prolonged focal seizure resulting in a postictal speech arrest occurred during test stimulation, there have been no operative complications and the postoperative course was uneventful. In all the other patients the pain inhibition appeared below the threshold for producting motor effects. Initially these patients reported a good to excellent pain relief. In three of 6 patients a good to excellent pain control was maintained for a follow-up period of 5 months to 2 years. In the remaining three patients the positive effect decreased over several months. Springer-Verlag, 1996 Precentral stimulation nationallicence anaesthesia dolorosa nationallicence post herpetic neuralgia nationallicence deafferentation pain nationallicence Ebel H. Neurosurgical Department, Justus-Liebig-University, Gießen aut Rust D. Neurosurgical Department, Justus-Liebig-University, Gießen aut Tronnier V. Neurosurgical Department, Ruprecht-Karls University, Heidelberg, Federal Republic of Germany aut Böker D. Neurosurgical Department, Justus-Liebig-University, Gießen aut Kunze S. Neurosurgical Department, Ruprecht-Karls University, Heidelberg, Federal Republic of Germany aut Acta Neurochirurgica Springer-Verlag 138/11(1996-11-01), 1300-1306 0001-6268 138:11<1300 1996 138 701 https://doi.org/10.1007/BF01411059 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411059 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ebel H. Neurosurgical Department, Justus-Liebig-University, Gießen aut NATIONALLICENCE 700 1- Rust D. Neurosurgical Department, Justus-Liebig-University, Gießen aut NATIONALLICENCE 700 1- Tronnier V. Neurosurgical Department, Ruprecht-Karls University, Heidelberg, Federal Republic of Germany aut NATIONALLICENCE 700 1- Böker D. Neurosurgical Department, Justus-Liebig-University, Gießen aut NATIONALLICENCE 700 1- Kunze S. Neurosurgical Department, Ruprecht-Karls University, Heidelberg, Federal Republic of Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/11(1996-11-01), 1300-1306 0001-6268 138:11<1300 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer