Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Screw-Lock: A Novel Technique to Secure Burr Hole Base Ring in DBS Surgery.

Surgical innovation·2026
Same author

miR-181d coordinates homologous recombination and anti-tumor immune responses in glioblastoma.

iScience·2026
Same author

In-hospital outcomes following fusion for spinal deformity in children with spinal cord injury: Analysis using the National Inpatient Sample.

The journal of spinal cord medicine·2026
Same author

Feedforward miR-181d degradation modulates population variance of methyl-guanine methyl transferase and temozolomide resistance.

Cell reports·2025
Same author

Harnessing ferroptosis to transform glioblastoma therapy and surmount treatment resistance.

Cell death discovery·2025
Same author

Trochlear nerve palsy associated with intracranial aneurysms: Scoping review.

Surgical neurology international·2025

Related Experiment Video

Updated: Apr 25, 2026

Author Spotlight: Combined Peripheral Nerve Stimulation and Controllable Pulse Parameter Transcranial Magnetic Stimulation to Probe Sensorimotor Control and Learning
14:47

Author Spotlight: Combined Peripheral Nerve Stimulation and Controllable Pulse Parameter Transcranial Magnetic Stimulation to Probe Sensorimotor Control and Learning

Published on: April 21, 2023

3.3K

Peripheral nerve stimulation by 'sandwich' paddle leads: technical note.

Amit Amit1, Mayur Sharma, Milind Deogaonkar

  • 1Department of Neurosurgery, Aberdeen Royal Infirmary, Aberdeen, UK, amitkalpana@aol.com.

Acta Neurochirurgica
|August 28, 2014
PubMed
Summary

A novel "sandwich" technique using two paddle leads enhances peripheral nerve stimulation (PNS) for chronic pain by improving nerve contact and reducing lead migration. This method offers augmented stimulation without increased patient morbidity.

More Related Videos

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals
07:30

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

Published on: January 13, 2022

2.2K
Preparation of Peripheral Nerve Stimulation Electrodes for Chronic Implantation in Rats
09:39

Preparation of Peripheral Nerve Stimulation Electrodes for Chronic Implantation in Rats

Published on: July 14, 2020

7.6K

Related Experiment Videos

Last Updated: Apr 25, 2026

Author Spotlight: Combined Peripheral Nerve Stimulation and Controllable Pulse Parameter Transcranial Magnetic Stimulation to Probe Sensorimotor Control and Learning
14:47

Author Spotlight: Combined Peripheral Nerve Stimulation and Controllable Pulse Parameter Transcranial Magnetic Stimulation to Probe Sensorimotor Control and Learning

Published on: April 21, 2023

3.3K
The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals
07:30

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

Published on: January 13, 2022

2.2K
Preparation of Peripheral Nerve Stimulation Electrodes for Chronic Implantation in Rats
09:39

Preparation of Peripheral Nerve Stimulation Electrodes for Chronic Implantation in Rats

Published on: July 14, 2020

7.6K

Area of Science:

  • Neurology
  • Pain Management
  • Surgical Innovation

Background:

  • Peripheral nerve stimulation (PNS) is increasingly used for chronic pain conditions.
  • Surgical placement of paddle leads directly on the affected nerve is effective for focal neuropathic, musculoskeletal, and visceral pain.

Purpose of the Study:

  • To describe and evaluate a novel "sandwich" technique for optimizing peripheral nerve stimulation lead placement.
  • To enhance the efficacy and stability of PNS in selected surgical cases.

Main Methods:

  • A technique involving two paddle leads placed on either side of the target peripheral nerve.
  • Surgical exposure and dissection of the nerve to allow circumferential placement of leads.
  • Utilizing two On-Point quadripolar leads positioned along the nerve's length.

Main Results:

  • The "sandwich" technique creates a wider interface with nerve fibers.
  • This method reduces the likelihood of lead migration.
  • It allows for controlled "crosstalk" between leads for potentially enhanced stimulation.

Conclusions:

  • The "sandwich" technique can augment nerve stimulation when open surgical placement is required.
  • This method offers improved outcomes without additional patient morbidity.
  • The technique, though used in practice, remains largely unreported in scientific literature.