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- Title
Long-term Results of Motor Cortex Stimulation in the Treatment of Chronic, Intractable Neuropathic Pain.
- Authors
Youngjin Kim; Byung-chul Son; Jin-gyu Choi; Sang-woo Ha; Hak-cheol Ko
- Abstract
Background: Although motor cortex stimulation (MCS) has been used for more than 20 years in the treatment of chronic neuropathic pain, there is still a debate about the efficacy of MCS. Methods: To investigate the long-term results and the factors associated with long-term success of chronic MCS, 21 patients who underwent MCS trial were classified as having central poststroke pain (CPSP), central pain after spinal cord injury (SCI pain), and peripheral neuropathic pain (PNeP), and we investigated the clinical factors associated with long-term success and degree of pain relief. Results: Of the 21 patients, 16 (76.2%) had a successful trial and underwent chronic MCS. In the long-term follow-up (53 ± 39 months), only the diagnosis (CPSP and PNeP) was associated with long-term success defined as more than 30% pain relief compared with baseline (p<0.05, chi-square test). The difference in pain relief was not significant in patients having SCI pain (p>0.05, one-way Anova). The other variables did not show any significant influence in the long-term success and degree of pain relief (p>0.05, one-way Anova). Conclusion: MCS was more effective in the treatment of chronic neuropathic pain of CPSP and PNeP types than in the treatment of SCI pain in the long-term follow-up.
- Publication
Stereotactic & Functional Neurosurgery, 2017, Vol 95, p348
- ISSN
1011-6125
- Publication type
Article