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Analysis of Gene Expression Changes in the Rat Hippocampus After Deep Brain Stimulation of the Anterior Thalamic Nucleus
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Deep Brain Stimulation for Chronic Pain.

Alexander Alamri1, Erlick A C Pereira1

  • 1Neurosciences Research Centre, Molecular and Clinical Sciences Institute, St George's University of London, London, United Kingdom.

Neurosurgery Clinics of North America
|June 19, 2022
PubMed
Summary
This summary is machine-generated.

Deep brain stimulation (DBS) offers a neurosurgical treatment for movement disorders, epilepsy, and psychiatric conditions. Pioneered in the 1950s, DBS also effectively treats various chronic pain states by targeting specific brain regions.

Keywords:
Anterior cingulate cortexChronic painDeep brain stimulationPeriaqueductal gray/periventricular grayVentral posterior thalamus

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Area of Science:

  • Neurosurgery
  • Neurology
  • Pain Management

Background:

  • Deep brain stimulation (DBS) is an established neurosurgical technique.
  • DBS is primarily recognized for treating movement disorders, epilepsy, Tourette syndrome, and obsessive-compulsive disorders.
  • Its application extends to managing various chronic pain conditions.

Purpose of the Study:

  • To review the historical development and therapeutic applications of DBS.
  • To highlight DBS as a treatment modality for diverse pain conditions.
  • To identify key neuroanatomical targets utilized in DBS for pain management.

Main Methods:

  • Literature review of DBS applications.
  • Analysis of historical data and clinical studies.
  • Identification of neuroanatomical targets for pain treatment.

Main Results:

  • DBS was first developed in the 1950s.
  • Established efficacy in movement disorders and psychiatric conditions.
  • Demonstrated utility in treating facial pain, phantom limb pain, post-stroke pain, and brachial plexus pain.

Conclusions:

  • Deep brain stimulation (DBS) is a versatile neurosurgical intervention with a long history.
  • DBS is effective not only for neurological and psychiatric disorders but also for intractable pain.
  • Targeting specific brain areas like the sensory thalamus, PAG, PVG, and ACC is crucial for successful pain relief with DBS.