Intrathecal Pain Pumps
Intrathecal drug delivery represents an advanced modality for refractory chronic pain patients as well as intractable spasticity. This article reviews the advantages and indications for intrathecal therapy, as well as…
Dorsal Root Entry Zone Lesion, Midline Myelotomy and Anterolateral Cordotomy
This review encompasses the most common spinal cord lesioning procedures used for the treatment of pain: dorsal root entry zone lesioning, open cordotomy, percutaneous cordotomy, and midline myelotomy. A literature…
Percutaneous Spinal Cord Stimulation for Chronic Pain
Percutaneous spinal cord stimulation has a clinical benefit in selected patients with chronic neuropathic pain related to failed back surgery syndrome and complex regional pain syndrome. Patients with other peripheral…
Motor Cortex Stimulation for Chronic Pain
Motor cortex stimulation produces significant relief of symptoms in many forms of refractory chronic pain disorders. Key points • Motor cortex stimulation (MCS) provides relief of many chronic pain syndromes…
Deep Brain Stimulation for Chronic Pain
For over half a century, neurosurgeons have attempted to treat pain from a diversity of causes using acute and chronic intracranial stimulation. Targets of stimulation have included the sensory thalamus,…
Intracranial Ablative Procedures for the Treatment of Chronic Pain
Three main techniques delineate a possible role for intracranial ablative procedures in patients with chronic pain. Recent studies demonstrate a continued need for clinical investigation into central mechanisms of neuroablation…
Introduction to Neuropathic Pain Syndromes
Chronic pain impairs the quality of life for millions of individuals and therefore presents a serious ongoing challenge to clinicians and researchers. Debilitating chronic pain syndromes cost the US economy…
Basic Anatomy and Physiology of Pain Pathways
This article provides an integrated review of the basic anatomy and physiology of the pain processing pathways. The transmission and parcellation of noxious stimuli from the peripheral nervous system to…
