Peripheral Nerve Stimulation

Peripheral Nerve Stimulation

von: K.V. Slavin

Karger, 2011

ISBN: 9783805594899 , 234 Seiten

Format: PDF, ePUB, OL

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Peripheral Nerve Stimulation


 

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