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Year : 2020  |  Volume : 68  |  Issue : 8  |  Page : 235--240

Deep Brain Stimulation and Motor Cortex Stimulation for Chronic Pain

1 Department of Neurosurgery, Ayer Neuroscience Institute, Hartford HealthCare, Hartford, CT, USA
2 Department of Neurosurgery, West Virginia University Health Sciences Center, Morgantown, WV, USA

Correspondence Address:
Dr. Patrick Senatus
Department of Neurosurgery, Ayer Neuroscience Institute, Hartford HealthCare, Hartford, CT
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.302471

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Deep brain stimulation (DBS) and Motor Cortex stimulation (MCS) have been used for control of chronic pain. Chronic pain of any origin is complex and difficult to treat. Stimulation of various areas in brain-like sensory thalamus, medial nuclei of thalamus including centro-lateral nucleus of thalamus (CL), periaqueductal gray, periventricular gray, nucleus accumbence and motor cortex provides partial relief in properly selected patients. This article reviews the pain pathways, theories of pain, targets for DBS and rationale of DBS and MCS. It also discusses the patient selection, technical details of each target.


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Online since 20th March '04
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