深入和更深入:脊髓和深度大脑刺激神经病痛的疼痛
Pedro Henrique Martins da Cunha1, Daniel Ciampi de Andrade2
1LIM-62, Pain Center, Department of Neurology, University of São Paulo, São Paulo, Brazil.
概括
神经调节在标准治疗失败时为神经病痛提供了替代方案. 脊髓刺激 (SCS) 和深度大脑刺激 (DBS) 是侵入性技术,有不断发展的证据来管理这种复杂的疾病.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 神经外科 神经外科
背景情况:
- 神经病痛影响7%的人口,通常对传统治疗不耐药.
- 神经调节,包括脊髓刺激 (SCS) 和深度大脑刺激 (DBS) 等侵入性技术,为耐火病例提供治疗选择.
研究的目的:
- 审查SCS和DBS神经病痛的方法细节,作用机制,证据,有效性,安全性和局限性.
- 为了比较SCS和DBS在神经病痛管理中的当前地位.
主要方法:
- 对神经病痛中脊髓刺激 (SCS) 和深脑刺激 (DBS) 现有文献的综述.
- 对两种技术的方法细节,机械背景和临床证据的分析.
主要成果:
- 脊髓刺激 (SCS) 在一些对外围神经病痛的指导方针中被推,持续的进展提高了其潜在的疗效.
- 疼痛管理的深度大脑刺激 (DBS) 是不太确定的,结果变化和不同的大脑目标阻碍了比较分析.
结论:
- SCS和DBS都为神经病痛的神经调节提供了不同的方法,每个方法都有独特的理由,机制和不同程度的支持证据.
- 需要进一步的研究和标准化,以澄清SCS和DBS在治疗神经病痛中的最佳作用和比较有效性.
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