Percutaneous lumbar plexus stimulation in the treatment of intractable pain

Petrovic, Z.; Goroszeniuk, T; Kothari, S.; Padfield, Nick

doi:10.1097/00115550-200709001-00019

Cited by 6 publications

(9 citation statements)

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“…The initial stimulating trial provides an excellent assessment of usefulness of neurostimulatory approach in the management of LPHS. A varying duration of pain relief following the short duration slow frequency stimulation targeted at sympathetic chain as it showed in our cases, has been expected as previously reported (39,40,42,44).…”

Section: Discussionsupporting

confidence: 88%

“…Application of a low‐frequency stimulation to single nerves, plexuses and targeted at a site of pain, mainly in neuropathic pain, has resulted in a substantial resolution of symptoms of varying duration (39,40,43,44). Permanent implantation in the case of targeted Stimulation, single nerves, and plexuses has confirmed these findings (39,42). The percutaneous neurostimulating approach is simpler, less traumatic for patients with potentially reduced side‐effects.…”

Section: Discussionmentioning

confidence: 95%

“…This was shown in case studies previously done by these authors to stimulate coeliac plexus and lumbar sympathetic chain using temporary Stimulong (Pajunk GmbH, Geisingen. Germany) catheters (39,40). In accordance with the Algorithm developed in our centre (41), we first carried out a trial stimulation of the lumbar sympathetic chain unilaterally or bilaterally depending on the location of pain with stimulating needles (B.Braun, Melsungen, Germany), followed by stimulating catheter trial (Stimulong,Pajunk GmbH, Geisingen, Germany).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Goroszeniuk

Khan

Kothari

2009

Neuromodulation: Technology at the Neural Interface

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Goroszeniuk

Khan

Kothari

2009

Neuromodulation: Technology at the Neural Interface

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“…The prolonged effect of stimulation with monoelectrode catheters has been in line with our previous observations of successful applications of this modality in neuropathic pain assessment and treatment (13–16). The trial lasted for one week with complete pain relief (VAS 0/10).…”

Section: Case Report and Methodssupporting

confidence: 81%

Permanent Percutaneous Splanchnic Nerve Neuromodulation for Management of Pain due to Chronic Pancreatitis: A Case Report

Goroszeniuk

Khan

2011

Neuromodulation: Technology at the Neural Interface

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“…Classically, peripheral nerves, such as the tibial and sacral nerves, have been directly stimulated to treat reflex sympathetic dystrophy, urinary and fecal incontinence, and pain . Recently, stimulation of the brachial or lumbar plexuses has been shown to restore tactile sensation, treat amputee and back pain, and neuropathies throughout the body, with the only major drawbacks involving electrode migration or failure …”

Section: Introductionmentioning

confidence: 99%

Functional and Histological Effects of Chronic Neural Electrode Implantation

Sahyouni

Chang

Moshtaghi

et al. 2017

Laryngoscope Investig Oto

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ObjectivesPermanent injury to the cranial nerves can often result in a substantial reduction in quality of life. Novel and innovative interventions can help restore form and function in nerve paralysis, with bioelectric interfaces among the more promising of these approaches. The foreign body response is an important consideration for any bioelectric device as it influences the function and effectiveness of the implant. The purpose of this review is to describe tissue and functional effects of chronic neural implantation among the different categories of neural implants and highlight advances in peripheral and cranial nerve stimulation. Data Sources: PubMed, IEEE, and Web of Science literature search. Review Methods: A review of the current literature was conducted to examine functional and histologic effects of bioelectric interfaces for neural implants.ResultsBioelectric devices can be characterized as intraneural, epineural, perineural, intranuclear, or cortical depending on their placement relative to nerves and neuronal cell bodies. Such devices include nerve‐specific stimulators, neuroprosthetics, brainstem implants, and deep brain stimulators. Regardless of electrode location and interface type, acute and chronic histological, macroscopic and functional changes can occur as a result of both passive and active tissue responses to the bioelectric implant.ConclusionA variety of chronically implantable electrodes have been developed to treat disorders of the peripheral and cranial nerves, to varying degrees of efficacy. Consideration and mitigation of detrimental effects at the neural interface with further optimization of functional nerve stimulation will facilitate the development of these technologies and translation to the clinic.Level of Evidence3.

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Percutaneous lumbar plexus stimulation in the treatment of intractable pain

Cited by 6 publications

References 0 publications

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Permanent Percutaneous Splanchnic Nerve Neuromodulation for Management of Pain due to Chronic Pancreatitis: A Case Report

Functional and Histological Effects of Chronic Neural Electrode Implantation

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