The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

Yanamoto, Fujio; Murakawa, Kazushige

doi:10.1111/j.1525-1403.2012.00438.x

Cited by 43 publications

(44 citation statements)

References 17 publications

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“…In 3 studies with available data, all patients were unsuccessfully treated with antiviral agents, epidural and/or nerve blocks and multiple pain medications including gabapentin, pregabalin, nonsteroidal anti-inflammatory drugs, opioids, antiepileptics and antidepressants [14, 16, 17]. The SCS was performed at the thoracic (81.7%), cervical (12.3%), lumbar (2%) and cervicomedullary junction (4%) levels after a mean of 17.6 months following zoster onset.…”

Section: Resultsmentioning

confidence: 99%

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Texakalidis

Tora

Boulis

2019

Stereotact Funct Neurosurg

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Background/Aims: Postherpetic neuralgia (PHN) can be refractory to both medical and minimally invasive treatments. Its complex pathophysiology explains the numerous neurosurgical procedures that have been implemented through the years. Our objective was to summarize all available neurosurgical strategies for the management of resistant PHN and evaluate their respective safety and efficacy outcomes. Methods: A comprehensive systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: A total of 38 studies comprising 811 patients with refractory PHN were included. The safety and efficacy of the following procedures were investigated: spinal cord stimulation (SCS), dorsal root entry zone (DREZ) lesioning, intrathecal drug delivery, caudalis DREZ lesioning, dorsal root ganglion (DRG) radiofrequency lesioning, peripheral nerve stimulation, gamma knife surgery, deep brain stimulation, cordotomy, percutaneous radiofrequency rhizotomy and Gasserian ganglion stimulation. Conclusions: There are several available neurosurgical approaches for recalcitrant PHN including neuromodulatory and ablative procedures. It is suggested that patients with resistant PHN undergo minimally invasive procedures first, including SCS, peripheral nerve stimulation or DRG radiofrequency lesioning. More invasive procedures should be reserved for refractory cases. Comparative studies are needed in order to construct a PHN neurosurgical management algorithm.

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Section: Resultsmentioning

confidence: 99%

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Texakalidis

Tora

Boulis

2019

Stereotact Funct Neurosurg

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“…Although diagnosis using nerve block can be inaccurate, Moriyama [10], Yanamoto and Murakawa [11] reported that epidural administration of local anesthetics is useful to determine whether the pain mechanism is located central or peripheral to the spinal cord. SCS can be effective for peripheral pain, which can be diagnosed by nerve block.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Outcome of Spinal Cord Stimulation in Pain Associated with Failed Back Surgery Syndrome

Tsunetoh¹,

Hirose²

2015

J Pain Relief

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“…Regardless of the higher success rates with SCS, it has some disadvantages apart from the high cost; for example, there is an infection risk because of the implanted leads, the subcutaneously implanted device could make patients uncomfortable, and the replacement of the battery is inconvenient [4,5,20]. For DREZotomy, some adverse postoperative effects, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, a loss of both large- and small-diameter fibers generates spontaneous activity in deafferented central neurons, producing constant pain in a region of profound sensory deficits without allodynia. The DREZotomy may destroy the sprouting in the dorsal horn to relieve the PHN, while the SCS may reestablish the impaired balance between excitatory and inhibitory mechanisms in sensitized dorsal horn neurons [4,11,18]. …”

Section: Discussionmentioning

confidence: 99%

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Treatment of Postherpetic Neuralgia Using DREZotomy Guided by Spinal Cord Stimulation

Liu

Zhong²,

Zhu³

et al. 2015

Stereotact Funct Neurosurg

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Background: Postherpetic neuralgia (PHN) is the most common complication following an episode of acute herpes zoster. The curative effect of current treatments is limited. Objectives: The purpose of this paper is to report a new treatment for PHN with a combination of dorsal root entry zone lesion (DREZotomy) and spinal cord stimulation (SCS). Methods: Microsurgical DREZotomy assisted with SCS for target localization was performed in 6 patients with PHN. A visual analog scale (VAS) was used to evaluate the pain pre- and postoperatively. Results: Except for 1 patient, in whom the test SCS was unsatisfactory, all patients finally underwent DREZotomy. These 5 patients experienced apparent symptom relief postoperatively, and the VAS score decreased from a baseline of 8.4 ± 1.14 to 2.4 ± 1.14 (p = 0.0020) and did not change significantly during the follow-up of up to 24 months. Conclusions: Microsurgical DREZotomy assisted with SCS for target localization is an effective remedy for PHN.

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The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

Cited by 43 publications

References 17 publications

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Factors Affecting Outcome of Spinal Cord Stimulation in Pain Associated with Failed Back Surgery Syndrome

Treatment of Postherpetic Neuralgia Using DREZotomy Guided by Spinal Cord Stimulation

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