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Progress in Neurological Surgery
3
Contents
6
Series Editor’s Note
8
Preface
10
Preface to the Third Edition
11
Preface to the Second Edition
12
History of Peripheral Nerve Stimulation
13
Abstract
13
Invention of PNS
14
PNS Progress: Early Years
16
PNS Progress: Maturation Stage
17
PNS Progress: Percutaneous Era
19
Percutaneous Nerve Stimulation
21
PNS Progress: Recent Advancements
21
Conclusion
22
References
23
Central Mechanisms of Peripheral NerveStimulation in Headache Disorders
28
Abstract
28
Gate Control Theory of Pain
29
References
35
Peripheral Nerve Stimulation for ChronicNeurogenic Pain
39
Abstract
39
Mechanism of Action
41
Indications and Patient Selection
42
Surgical Insertion Technique
43
Trial of Stimulation
47
Permanent Implantation
47
Results
47
Authors’ Experience
47
Complications
50
Conclusion
50
References
51
Percutaneous Peripheral Nerve Stimulation
53
Abstract
53
Initial Surgical Electrode Placements
54
Peripheral Neurostimulation: Pertinent Anatomy and Physiology
55
Nerve Trunks
56
Fascicular Anatomy
56
Blood Supply of Peripheral Nerves
56
Percutaneous Surgical Techniques
57
Discussion and Conclusion
63
Illustrative Cases
64
References
66
Peripheral Nerve Stimulation for theTreatment of Truncal Pain
70
Abstract
70
Mechanism of Action
71
Patient Selection
72
Failed Back Surgery Syndrome
72
Postherpetic Neuralgia
74
Inguinal Neuropraxia
74
Post- Thoracotomy Pain
75
PNfS Technical Considerations
75
PNfS Programming
78
References
80
Peripheral Subcutaneous Stimulation forIntractable Abdominal Pain
82
Abstract
82
References
87
Subcutaneous Occipital Region Stimulationfor Intractable Headache Syndromes
89
Abstract
89
History
89
Initial Observations
90
Early ONS Experience
90
Indications
92
ONS Trial
93
Techniques
93
Halo PNS
94
Outcomes
94
Complications
96
The Future
96
References
97
Peripheral Nerve Stimulation for OccipitalNeuralgia: Surgical Leads
98
Abstract
98
Classification and Terminology
99
Mechanism of Action and History of PNS
99
Occipital Neuralgia
101
Indications and Technique for the Implantation of Paddle Leads
102
Clinical Outcomes and Peer- Reviewed Evidence
105
Complications
105
Conclusions
106
References
106
Occipital Nerve Stimulation: Technical andSurgical Aspects of Implantation
108
Abstract
108
Surgical Technique
109
Stimulation Trial
109
Permanent Implant
111
Occipital Nerve Stimulation Programming: Patterns and Parameters
114
Complication Avoidance
114
Use of Occipital Stimulation for Occipital Neuralgia
117
Future Directions
119
References
119
Peripheral Neuromodulation for MigraineHeadache
121
Abstract
121
Surgical Procedure
122
Mechanism of Action
124
Independent Clinical Trials
124
Industry-Sponsored Clinical Trials
125
The Northwestern Experience
127
Conclusion
128
References
128
Occipital Neuromodulation for RefractoryHeadache in the Chiari MalformationPopulation
130
Abstract
130
Chiari Malformation: Etiology and Associated Symptomatology
131
Neurostimulation
132
Methods
132
Results
133
Complications
135
Discussion
136
Conclusion
137
References
137
Peripheral Nerve Stimulation in ChronicCluster Headache
138
Abstract
138
Occipital Nerve Stimulation
139
Other Neurostimulation Methods
142
Conclusions
143
References
143
Peripheral Nerve Stimulation forFibromyalgia
145
Abstract
145
Introduction
145
Conclusion
155
References
155
‘Hybrid Neurostimulator’: Simultaneous Useof Spinal Cord and Peripheral Nerve FieldStimulation to Treat Low Back and Leg Pain
159
Abstract
159
Hybrid Stimulation Pilot Study Details
160
Results
163
Theoretical Mechanisms of Action
163
Discussion
165
Conclusions
166
References
166
Stimulation of the Peripheral NervousSystem for the Painful Extremity
168
Abstract
168
Review of the Literature
169
Mechanism of Action
170
Patient/Candidate Selection
171
Selection of Neuromodulation System
172
Neuromodulation Trial
173
Permanent PNS/PNfS Implantation
177
Common Neural Targets and Treatable Syndromes for PNfS and PNS
178
Conclusions
180
References
181
Sphenopalatine Ganglion Interventions:Technical Aspects and Application
183
Abstract
183
Anatomic and Physiologic Considerations
184
Physiologic Considerations and Applications
185
Sphenopalatine Ganglion Interventional Procedures
186
Approaches to the Sphenopalatine Ganglion
187
Sphenopalatine Ganglion Stimulation and Outcomes
189
Conclusion
189
References
190
Spinal Nerve Root Stimulation
192
Abstract
192
Clinical Evidence and Indications for Spinal Nerve Root Stimulation
193
Intraspinal Nerve Root Stimulation
194
Transforaminal Nerve Root Stimulation
195
Extraforaminal Nerve Root Stimulation
197
Trans- Spinal Nerve Root Stimulation
198
Conclusion
199
References
199
Technical Aspects of Peripheral NerveStimulation: Hardware and Complications
201
Abstract
201
Components of Peripheral Nerve Stimulation Systems
202
Peripheral Nerve Stimulation Accessories
208
Peripheral Nerve Stimulation Complications
209
Conclusions
213
References
213
Peripheral Nerve Stimulation: Definition
215
Abstract
215
Neurostimulation Classifications
216
Definition of Peripheral Nerve Stimulation
218
Conclusion
220
References
220
The Future of Peripheral Nerve Stimulation
222
Abstract
222
Current State of PNS: Key Issues
223
Future Prospects of PNS
224
Conclusion
228
References
228
Author Index
230
Subject Index
231
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