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Programmed Transcutaneous (TNS) and Central (DBS) Stimulation for Control of Phantom Limb Pain and Causalgia: A New Method for Treatment

  • Conference paper
Phantom and Stump Pain

Abstract

Destructive pain surgery (exeresis of the peripheral nerves, rhizotomy, cordotomy, tractotomy) [16, 27, 28], stereotactic high frequency coagulation, or cryolesion of the specific and nonspecific sensorimotor nuclei in the posterior thalamus and medial pulvinar [6, 18, 22, 23, 35] has in the last decade been replaced more and more with the nondestructive functional stimulation methods of transcutaneous stimulation (TNS) [38], epidural dorsal column stimulation (DCS) [30, 34,40], and deep brain stimulation (DBS) [1, 15, 20, 24]. The patient determines the intensity, frequency, and duration of the stimulation. The stereotactic DBS method was introduced in Europe for the first time in 1976 by Mundinger [19] using the Medtronic system. We have since accumulated a series of 75 cases (as of September, 1980) with chronic pain and pyramidal and extrapyramidal motor disturbances.

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Author information

Authors and Affiliations

  1. Abteilung Sterotaxis und Neuronuklearmedizin, Neurochirurgische Universitätsklinik, Hugstetter Straße 55, D-7800, Freiburg, Germany

    H. Neumüller

Authors
  1. F. Mundinger
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  2. H. Neumüller
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Editor information

Editors and Affiliations

  1. Neurochirurgische Universitätsklinik, Rämistr. 100, CH-8091, Zürich, Switzerland

    Jean Siegfried

  2. II. Physiologisches Institut, Universität Heidelberg, Im Neuenheimer Feld 326, D-7900, Heidelberg, Germany

    Manfred Zimmermann

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© 1981 Springer-Verlag Berlin Heidelberg

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Mundinger, F., Neumüller, H. (1981). Programmed Transcutaneous (TNS) and Central (DBS) Stimulation for Control of Phantom Limb Pain and Causalgia: A New Method for Treatment. In: Siegfried, J., Zimmermann, M. (eds) Phantom and Stump Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68264-3_26

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  • DOI: https://doi.org/10.1007/978-3-642-68264-3_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-11041-5

  • Online ISBN: 978-3-642-68264-3

  • eBook Packages: Springer Book Archive

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