Skip to main content

Intracranial Neuromodulation: Deep Brain Stimulation for Pain

  • Chapter
  • First Online:
Advanced Procedures for Pain Management
  • 2180 Accesses

Abstract

Deep brain stimulation (DBS) is a form of intracranial stimulation in which electrical current can be delivered to deep nuclei. It is performed by the insertion of implanted electrodes via a burrhole to the subcortical targets, utilizing navigation. It is a reversible and adjustable procedure that falls under the category of neuromodulation; because it is less invasive than other neurosurgical procedures, it carries a low risk profile.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Hamani C, Schwalb JM, Rezai AR, Dostrovsky JO, Davis KD, Lozano AM. Deep brain stimulation for chronic neuropathic pain: long-term outcome and the incidence of insertional effect. Pain. 2006;125:188–96.

    Article  PubMed  Google Scholar 

  2. Levy RM, Deer T, Henderson J. Intracranial neurostimulation for pain control: a review. Pain Physician. 2010;13:157–65.

    PubMed  Google Scholar 

  3. Bittar RG, Kar- Purkayastha I, Owen SL, Bear RE, Green A, Wang S, Aziz TZ. Deep brain stimulation for pain relief: a meta-analysis. J Clin Neurosci. 2005;12:515–9.

    Article  PubMed  Google Scholar 

  4. Levy RM, Lamb S, Adams JE. Treatment of chronic pain by deep brain stimulation: long term follow-up and review of the literature. Neurosurgery. 1987;21:885–93.

    Article  CAS  PubMed  Google Scholar 

  5. Parmar VK, Gee L, Smith H, Pilitsis JG. Supraspinal stimulation for treatment of refractory pain. Clin Neurol Neurosurg. 2014;123:155–63.

    Article  CAS  PubMed  Google Scholar 

  6. Owen SL, Green AL, Nandi DD, Bittar RG, Wang S, Aziz TZ. Deep brain stimulation for neuropathic pain. Acta Neurochir Suppl. 2007;97(Pt 2):111–6.

    Article  CAS  PubMed  Google Scholar 

  7. Green AL, Nandi D, Armstrong G, Carter H, Aziz T. Post-herpetic trigeminal neuralgia treated with deep brain stimulation. J Clin Neurosci. 2003;10:512–4.

    Article  CAS  PubMed  Google Scholar 

  8. Leone M, May A, Franzini A, Broggi G, Dodick D, Rapoport A, et al. Deep brain stimulation for intractable chronic cluster headache: proposals for patient selection. Cephalalgia. 2004;24:934–7.

    Article  CAS  PubMed  Google Scholar 

  9. Leone M, Franzini A, Broggi G, Bussone G. Hypothalamic deep brain stimulation for intractable chronic cluster headache: a 3-year follow-up. Neurol Sci. 2003;24:S143–5.

    PubMed  Google Scholar 

  10. Chodakiewitz Y, Bicalho G, Chodakiewitz J. Multi-target neurostimulation for adequate long term relief of neuropathic and nociceptive chronic pain components. Surg Neurol Int. 2013;4:170–5.

    Article  Google Scholar 

  11. Jenkins B, Tepper SJ. Neurostimulation for primary headache disorders: part 2, review of central neurostimulators for primary headache, overall therapeutic efficacy, safety, cost, patient selection, and future research in headache neuromodulation. Headache. 2011;51:1408–18.

    Article  PubMed  Google Scholar 

  12. Kumar K, Toth C, Nath RK. Deep brain stimulation for intractable pain: a 15-year experience. Neurosurgery. 1997;40:736–46.

    Article  CAS  PubMed  Google Scholar 

  13. Falowski S, Ooi YC, Smith A, Verhargen Metman L, Bakay RA. An evaluation of hardware and surgical complications with deep brain stimulation based on diagnosis and lead location. Stereotact Funct Neurosurg. 2012;90:173–80.

    Article  PubMed  Google Scholar 

  14. Deer TR, Mekhail N, Petersen E, Krames E, Staats P, Pope J, et al. The appropriate use of neurostimulation: stimulation of the intracranial and extracranial space and head for chronic pain. Neuromodulation Appropriateness Consensus Committee. Neuromodulation. 2014;17:551–70; discussion 570.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Steven M. Falowski .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Falowski, S.M. (2018). Intracranial Neuromodulation: Deep Brain Stimulation for Pain. In: Diwan, S., Deer, T. (eds) Advanced Procedures for Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-68841-1_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-68841-1_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68839-8

  • Online ISBN: 978-3-319-68841-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics