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Control of Dyskinesias Due to Sensory Deafferentation by Means of Thalamic Stimulation

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Book cover Advances in Stereotactic and Functional Neurosurgery 4

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 30))

Summary

Intermittent stimulation of the parvocellular portion of the nucleus ventralis posterolateralis (V.P.L.) by means of chronically implanted electrodes and stimulus generator was performed in 124 patients for the control of chronic intractable pain. Among these, 11 showed spontaneous abnormal movements within the painful area: 6 post amputation “jumping stumps” 4 pseudothalamic syndromes and 1 Von Benedikt’s syndrome following a cerebrovascular accident. Electrical Stimulation of the V.P.L. was able to control both pain and abnormal movements in all cases. The technique was applied with an equally good result in a case of choreoathetotic syndrome without pain but with severe sensory disturbances following a demyelinating process. Attempts made to control action tremor, parkinsonism and other dyskinesias not associated with sensory deafferentation in 12 cases failed. The same mechanism seems to be responsible for pain and dyskinesia in cases of sensory deafferentation, and thalamic stimulation might work as a Substitute for sensory information delivered to the nucleus ventralis posterolateralis.

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References

  1. Mazars, G., Mérienne, L., Cioloca, C., Traitement de certains types de douleurs par des stimulateurs thalamiques implantables. Neurochirurgie 20 (1974), 117–124.

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Author information

Authors and Affiliations

  1. Neurosurgical Department “A”, Centre Hospitalier Sainte-Anne, 1, rue Cabanis, F-75674, Paris, Cedex 14, France

    G. Mazars

Authors
  1. G. Mazars
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  2. L. Merienne
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  3. C. Cioloca
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Editor information

Editors and Affiliations

  1. Western General Hospital and Royal Infirmary, University of Edinburgh, Edinburgh, UK

    F. John Gillingham (Professor of Neurosurgery) (Professor of Neurosurgery)

  2. Academisch Ziekenhuis, Leuven, Belgium

    Jan Gybels (Professor of Neurosurgery) (Professor of Neurosurgery)

  3. Midland Center for Neurosurgery and Neurology and Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK

    Edward Hitchcock (Professor of Neurosurgery) (Professor of Neurosurgery)

  4. Istituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Roma, Italy

    Gian Franco Rossi (Professor of Neurosurgery) (Professor of Neurosurgery)

  5. Service de Neurochirurgie Fonctionnelle, Centre Hospitalier Sainte Anne, Paris, France

    Gábor Szikla (Maître de Recherche C.N.R.S., Neurosurgeon) (Maître de Recherche C.N.R.S., Neurosurgeon)

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© 1980 Springer-Verlag

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Mazars, G., Merienne, L., Cioloca, C. (1980). Control of Dyskinesias Due to Sensory Deafferentation by Means of Thalamic Stimulation. In: Gillingham, F.J., Gybels, J., Hitchcock, E., Rossi, G.F., Szikla, G. (eds) Advances in Stereotactic and Functional Neurosurgery 4. Acta Neurochirurgica Supplementum, vol 30. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8592-6_29

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  • DOI: https://doi.org/10.1007/978-3-7091-8592-6_29

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-81591-5

  • Online ISBN: 978-3-7091-8592-6

  • eBook Packages: Springer Book Archive

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