Functional neurosurgery in the treatment of chronic pain: A review


Mirzai H.

Pain Clinic, cilt.16, sa.4, ss.369-377, 2004 (Scopus) identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 16 Sayı: 4
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1163/1568569042664477
  • Dergi Adı: Pain Clinic
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.369-377
  • Anahtar Kelimeler: Chronic pain, Neurosurgery, Pain conduction
  • Manisa Celal Bayar Üniversitesi Adresli: Evet

Özet

Surgical treatment becomes a current issue when conservative treatments are insufficient in the treatment of chronic and refractory pain. With surgical treatments, conduction of pain and its perception by the central nervous system are inhibited by neuroablative, neurostimulative methods and techniques such as provision of pain relief with the use of reservoirs and pumps. Among commonly applied neurosurgical procedures for this purpose are microvascular decompression, DREZ (dorsal root entry zone) lesioning, open or percutaneous cervical chordotomy, radiofrequency thermocoagulation, implantation of morphine reservoir and stimulator. With improvement of technical apparatus and equipment and with stereotactic and endoscopic advances the tolerability of surgical treatments has increased.