Deep Brain Stimulation for Management of Refractory Cranial Neuralgias: A Literature Review

Le résumé fourni par la source

Deep Brain Stimulation [DBS] is a neuromodulatory approach of treatment brain diseases by inserting electrodes intracranially for delivering electrical impulses to targeted brain deep nuclei and structures.This method of neurostimulation is well established and evidence based for management of patients with movement disorders and approved by Food and Drag Agency of USA.After initial introduction of DBS as a feasible treatment option for patient with intractable neuropathic pain conditions, this electrical stimulation modality has gained widespread acceptance in modern management of movement disorders.Recently, Neuromodulation Appropriateness Consensus Committee, an expert panel of the International Neuromodulation Society, found that the evidence to support the use of DBS therapy for facial pain is limited and a current clinical use of intracranial stimulation for facial pain management should be seen as investigational.Several recent studies have demonstrated the benefit of DBS in controlling medically resistant facial pain conditions.With progress of understanding of neural circuitry involved in pain processing and advances in electrostimulation technology, DBS therapy appears to be clinically reasonable option for patients with various cranial neuralgias, however, no consensus exists yet as to what is optimal treatment target and nosology of facial pain.The intention of this narrative review is to critically reassess current evidence of DBS efficacy for management of patient with cranial neuralgias.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.