title: [Surgical procedures for neuropathic pain].
abstract: Different surgical procedures are available for the treatment of many neuropathic pain syndromes. These surgical procedures can be divided into 2 main sections: non-destructive and destructive procedures. In recent years, the non-destructive neurostimulation method has undergone rapid development. Neurostimulation can be applied to a large part of the nervous system including the brain, spinal cord, and peripheral nerves. Spinal cord stimulation has become a dominant pain relief modality because of its minimal invasiveness and the development of a multi-contact stimulating electrode system powered by a multi-programmable and rechargeable stimulator. Currently, destructive surgical procedures have a limited range of indications for pain control. However, the advantages of destructive procedures over non-destructive ones include continuous pain reduction without implantation of a stimulation system. Each of the surgical procedures has great potential for providing patients with significant relief from neuropathic pain.
authors.affiliation: Department of Neurosurgery, Tokyo Women's Medical University, Shinijuku-ku, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Goto
authors.forename: Takaomi
authors.initials: T
authors.lastname: Taira
mesh_terms: D046690:Deep Brain Stimulation / Q000379:methods; D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D009437:Neuralgia / Q000628:therapy*; D010525:Peripheral Nerves / Q000601:surgery*; D062187:Spinal Cord Stimulation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome