Neurosurgery
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Surgical management of cortical lesions adjacent to or within the eloquent cerebral cortex requires a critical risk: benefit analysis of the procedure before intervention. This study introduced a measure of surgical risk, based on preoperative magnetoencephalographic (MEG) sensory and motor mapping, and tested its value in predicting surgical morbidity. ⋯ Our results suggest that MEG mapping-derived FRPs can serve as powerful tools for use in presurgical planning and during surgery.
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A major drawback of currently available spinal cord stimulation (SCS) systems for the management of chronic intractable pain, especially of widespread pain patterns as in reflex sympathetic dystrophy, is the generally limited paresthesia coverage. The aim of this study is to analyze the origin of this problem and to provide solutions. ⋯ Paresthesia coverage and pain management by SCS can be improved when using electrodes as proposed.
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Review Comparative Study
Deep brain stimulation for intractable pain: a 15-year experience.
During the past 15 years, we prospectively followed 68 patients with chronic pain syndromes who underwent deep brain stimulation (DBS). The objective of our study was to analyze the long-term outcomes to clarify patient selection criteria for DBS. ⋯ DBS in selected patients provides long-term effective pain control with few side effects or complications.