Atypical facial pain deep brain stimulation
Update on neurosurgical treatment of chronic trigeminal autonomic cephalalgias and atypical facial pain with deep brain stimulation of posterior hypothalamus.
In contrast, atypical face pain is described as constant, aching, burning, .. The DBS surgical strategy for the treatment of neuropathic facial pain is to place an.
Description:Abstract Intractable neuropathic face pain is a syndrome of unremitting severe pain that stems from abnormal nociceptive processing at various levels of the trigeminal system. Treatment of this debilitating condition has long presented a challenge for physicians due to the refractoriness to standard pharmacologic therapies. With few viable treatment options available surgical procedures such motor cortex stimulation MCS and Deep brain stimulation DBS provide additional treatment options. The authors present a review of the current literature and practices regarding patient selection criteria, potential mechanism of action, surgical technique, and outcome of patients with neuropathic face pain treated with MCS and DBS. Introduction Intractable neuropathic face pain is a syndrome of severe constant, throbbing or burning pain in the distribution of the trigeminal nerve.