[Neurostimulatory treatment of neuropathic pain].
Neurostimulation of neuropathic pain is based on surgical implantation of devices for several types of neuromodulatory treatment (stimulation of the spinal cord, cortex, deep brain or thalamus, or occiput). Spinal cord stimulation is a recognized treatment, with a high level of proof. It is effective in 70 or 80% of appropriately selected cases. Cortical stimulation is effective in 50 to 70% of cases but should be performed only in several specialized centers. Thalamic stimulation, with its efficacy rate of only 30 to 50%, should be reserved for patients for whom the preceding techniques have failed.
Nguyen
Jean-Paul
JP
Service de neurochirurgie, hôpital Laennec, F-44093 Nantes cedex, France.
Meas
Yunsan
Y
Kuhn
Emmanuelle
E
Desal
Hubert
H
Hamel
Olivier
O
Raoul
Sylvie
S
D000818:Animals; D002540:Cerebral Cortex; D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D009437:Neuralgia / Q000628:therapy*; D013116:Spinal Cord; D013788:Thalamus