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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Peripheral nerve stimulation for chronic neurogenic pain
Progress in Neurological Surgery
|March 23, 2011
Summary
Peripheral nerve stimulation (PNS) offers a less invasive and more effective treatment for chronic pain. Advances in hardware and techniques are expanding its use for various neuropathic pain conditions.
Area of Science:
- Neurology
- Pain Management
- Neurosurgery
Background:
- Peripheral nerve stimulation (PNS) has a 40-year history in neuropathic pain management.
- Recent advancements in hardware and procedural modifications have increased PNS efficacy and acceptance.
- PNS is a neuromodulation technique applied to various chronic pain syndromes.
Purpose of the Study:
- To review the principles and indications for peripheral nerve stimulation.
- To present a single institution's 13-year experience with 24 peripheral nerve stimulators and 8 occipital nerve stimulators.
- To discuss surgical implantation techniques and protocols.
Main Methods:
- Review of existing literature on PNS principles and indications.
- Retrospective analysis of a single institution's experience with PNS implantation.
- Description of surgical implantation nuances and protocols.
Main Results:
- The study reviewed 24 peripheral nerve stimulators and 8 occipital nerve stimulators implanted over 13 years.
- The review encompasses established indications like post-traumatic neuropathy and newer applications such as migraines and cluster headaches.
- Surgical nuances and implantation protocols were detailed.
Conclusions:
- Peripheral nerve stimulation is an evolving neuromodulation technique with expanding applications.
- Continued research and hardware refinement are crucial for optimizing patient selection and treatment efficacy.
- Collaborative efforts will enhance clinical experience and identify ideal candidates for PNS.
