Peripheral nerve neurostimulation.
There is a renewed interest in the use of PNS for the control of intractable pain caused by peripheral mononeuropathies and sympathetically mediated chronic pain syndromes. Technical advances in neurostimulation hardware, specifically lead design and surgical advancements with percutaneous and subcutaneous techniques, fuel this interest in part. The use of multipolar electrode arrays placed percutaneously in the region of peripheral nerves or in their dermatomal distribution without the need for extensive surgical dissection should help to support the use of PNS as a reasonable alternative to potentially destructive surgical procedures for chronic pain control.
Weiner
Richard L
RL
Department of Neurosurgery, Presbyterian Hospital of Dallas, University of Texas Southwestern Medical School, Dallas, TX, USA. rlw1@ix.netcom.com
D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects; D004867:Equipment Design; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D010525:Peripheral Nerves