The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation

Chronic intractable pain is debilitating for those touched, affecting 5% of the population. Deep brain stimulation (DBS) has fallen out of favour as the centrally implantable neurostimulation of choice for chronic pain since the 1970–1980s, with some neurosurgeons favouring motor cortex stimulation...

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Detalles Bibliográficos
Autores principales: Farrell, Sarah Marie, Green, Alexander, Aziz, Tipu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119957/
https://www.ncbi.nlm.nih.gov/pubmed/30127290
http://dx.doi.org/10.3390/brainsci8080158
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author Farrell, Sarah Marie
Green, Alexander
Aziz, Tipu
author_facet Farrell, Sarah Marie
Green, Alexander
Aziz, Tipu
author_sort Farrell, Sarah Marie
collection PubMed
description Chronic intractable pain is debilitating for those touched, affecting 5% of the population. Deep brain stimulation (DBS) has fallen out of favour as the centrally implantable neurostimulation of choice for chronic pain since the 1970–1980s, with some neurosurgeons favouring motor cortex stimulation as the ‘last chance saloon’. This article reviews the available data and professional opinion of the current state of DBS as a treatment for chronic pain, placing it in the context of other neuromodulation therapies. We suggest DBS, with its newer target, namely anterior cingulate cortex (ACC), should not be blacklisted on the basis of a lack of good quality study data, which often fails to capture the merits of the treatment.
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spelling pubmed-61199572018-09-06 The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation Farrell, Sarah Marie Green, Alexander Aziz, Tipu Brain Sci Review Chronic intractable pain is debilitating for those touched, affecting 5% of the population. Deep brain stimulation (DBS) has fallen out of favour as the centrally implantable neurostimulation of choice for chronic pain since the 1970–1980s, with some neurosurgeons favouring motor cortex stimulation as the ‘last chance saloon’. This article reviews the available data and professional opinion of the current state of DBS as a treatment for chronic pain, placing it in the context of other neuromodulation therapies. We suggest DBS, with its newer target, namely anterior cingulate cortex (ACC), should not be blacklisted on the basis of a lack of good quality study data, which often fails to capture the merits of the treatment. MDPI 2018-08-20 /pmc/articles/PMC6119957/ /pubmed/30127290 http://dx.doi.org/10.3390/brainsci8080158 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Farrell, Sarah Marie
Green, Alexander
Aziz, Tipu
The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title_full The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title_fullStr The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title_full_unstemmed The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title_short The Current State of Deep Brain Stimulation for Chronic Pain and Its Context in Other Forms of Neuromodulation
title_sort current state of deep brain stimulation for chronic pain and its context in other forms of neuromodulation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119957/
https://www.ncbi.nlm.nih.gov/pubmed/30127290
http://dx.doi.org/10.3390/brainsci8080158
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