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Chronic Thalamic Stimulation for the Control of Facial Anesthesia Dolorosa

Chronic Thalamic Stimulation for the Control of Facial Anesthesia Dolorosa Abstract Facial anesthesia dolorosa following retrogasserian rhizotomy was treated by stimulation of the contralateral thalamic sensory nucleus (posterior ventralis medialis) through stereotaxically placed, chronically implanted electrodes in five patients. In four patients, facial pain was masked by electrically induced paresthesia. One patient continued to experience her pain through the induced paresthesia. The mechanism of pain control in these cases can be postulated as suppression at the thalamic level of neuronal hyperactivity projected from the deafferented trigeminal system. References 1. Peet MM, Schneider RC: Trigeminal neuralgia: A review of 689 cases with a follow up study on 65% of the group . J Neurosurg 9:367-377, 1952.Crossref 2. Stookey BP, Ransohoff J: Trigeminal Neuralgia: Its History and Treatment . Springfield, Ill, Charles C Thomas Publisher, 1959. 3. Rasmussen P: Facial Pain: A Clinical Study with Special Reference to the Symptomatology — Aetiology and Surgical Therapy . Copenhagen, Munksgaard, 1965. 4. Olivecrona H: Trigeminal neuralgia . Triangle 5:60, 1961. 5. White JC, Sweet WH: Pain and the Neurosurgeon: A 40-Year Experience . Springfield, Ill, Charles C Thomas Publisher, 1969. 6. Obrador S, Bravo G: Thalamic lesions for the treatment of facial neuralgias . J Neurol Neurosurg Psychiatry 23:351-352, 1960. 7. Bettag W, Yoshida T: über stereotaktische schmerzoperationen . Acta Neurochir , 1960, pp 299-317. 8. Spiegel EA, Wycis HT: Mesencephalotomy in treatment of an "intractable" facial pain . Arch Neurol Psychiatry 69:1-13, 1953.Crossref 9. Roeder R, Orthner H: Erfahrugen mit stereotaktischen Eingriffen: III. Mitteilung: über Zerebrale Schrmerzoperationen, insfesondere mediale mesencephalotomic bei thalamischer Hyperpathie und bei Anaesthesia dolorosa . Confin Neurol 21:51-97, 1961.Crossref 10. Nashold BS, Wilson WP, Slaughter DG: Stereotaxic midbrain lesions for central dysesthesia and phantom pain: Preliminary report . J Neurosurg 30:116-126, 1969.Crossref 11. Heath RG: Studies in Schizophrenia: A Multidisciplinary Approach to Mid Brain Relationships . Cambridge, Mass, Harvard University Press, 1954. 12. Buchwald HA, et al: The "caudate spindle":IV. A behavioral index of caudate induced inhibition . Electroencephalogr Clin Neurophysiol 13:531-537, 1961.Crossref 13. Ervin FR, Brown CE, Mark VH: Striatal influence on facial pain . Confin Neurol 27:75-86, 1966.Crossref 14. Shealy CN, Mortimer JT, Hagfors NR: Dorsal column electroanalgesia . J Neurosurg 32:560-564, 1970.Crossref 15. Atkinson JR: Clinical monopolar stimulator implant on gasserian ganglion for anesthesia dolorosa. Read before the 32nd annual meeting of the American Academy of Neurological Surgery, Mexico City, 1970. 16. Schaltenbrand G, Bailey P: Introduction to Stereotaxis With an Atlas of the Human Brain . New York, Grune & Stratton Inc, 1959, vol 2. 17. Adams JE, Rutkin BB: Diagnostic telemetry from depth electrodes in epilepsy . Confin Neurol 34:363-367, 1972.Crossref 18. Obrador S, Dierssen G: Sensory responses to subcortical stimulation and management of pain disorders by stereotaxic methods . Confin Neurol 27:45-51, 1966.Crossref 19. Sano K, Yoshioka M, Ogashiwa M: Thalamolaninotomy: A new operation for relief of intractable pain . Confin Neurol 27:63-66, 1966.Crossref 20. Mortimer JT, Shealy CN, Wheeler C: Experimental nondestructive electrical stimulation of the brain and spinal cord . J Neurosurg 32:553-559, 1970.Crossref 21. Anderson LS, et al: Neuronal hyperactivity in experimental trigeminal deafferentation . J Neurosurg 35:444-452, 1971.Crossref 22. Procacci P: A survey of modern concepts of pain , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, American Elsevier Publishing Co, 1972, vol 1. 23. Zorub DS, Richardson DF: The thalamic projection of the extraleminiscal sensory system. Read before the American Association of Neurological Surgeons, Houston, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Chronic Thalamic Stimulation for the Control of Facial Anesthesia Dolorosa

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Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1973.00490270040005
Publisher site
See Article on Publisher Site

Abstract

Abstract Facial anesthesia dolorosa following retrogasserian rhizotomy was treated by stimulation of the contralateral thalamic sensory nucleus (posterior ventralis medialis) through stereotaxically placed, chronically implanted electrodes in five patients. In four patients, facial pain was masked by electrically induced paresthesia. One patient continued to experience her pain through the induced paresthesia. The mechanism of pain control in these cases can be postulated as suppression at the thalamic level of neuronal hyperactivity projected from the deafferented trigeminal system. References 1. Peet MM, Schneider RC: Trigeminal neuralgia: A review of 689 cases with a follow up study on 65% of the group . J Neurosurg 9:367-377, 1952.Crossref 2. Stookey BP, Ransohoff J: Trigeminal Neuralgia: Its History and Treatment . Springfield, Ill, Charles C Thomas Publisher, 1959. 3. Rasmussen P: Facial Pain: A Clinical Study with Special Reference to the Symptomatology — Aetiology and Surgical Therapy . Copenhagen, Munksgaard, 1965. 4. Olivecrona H: Trigeminal neuralgia . Triangle 5:60, 1961. 5. White JC, Sweet WH: Pain and the Neurosurgeon: A 40-Year Experience . Springfield, Ill, Charles C Thomas Publisher, 1969. 6. Obrador S, Bravo G: Thalamic lesions for the treatment of facial neuralgias . J Neurol Neurosurg Psychiatry 23:351-352, 1960. 7. Bettag W, Yoshida T: über stereotaktische schmerzoperationen . Acta Neurochir , 1960, pp 299-317. 8. Spiegel EA, Wycis HT: Mesencephalotomy in treatment of an "intractable" facial pain . Arch Neurol Psychiatry 69:1-13, 1953.Crossref 9. Roeder R, Orthner H: Erfahrugen mit stereotaktischen Eingriffen: III. Mitteilung: über Zerebrale Schrmerzoperationen, insfesondere mediale mesencephalotomic bei thalamischer Hyperpathie und bei Anaesthesia dolorosa . Confin Neurol 21:51-97, 1961.Crossref 10. Nashold BS, Wilson WP, Slaughter DG: Stereotaxic midbrain lesions for central dysesthesia and phantom pain: Preliminary report . J Neurosurg 30:116-126, 1969.Crossref 11. Heath RG: Studies in Schizophrenia: A Multidisciplinary Approach to Mid Brain Relationships . Cambridge, Mass, Harvard University Press, 1954. 12. Buchwald HA, et al: The "caudate spindle":IV. A behavioral index of caudate induced inhibition . Electroencephalogr Clin Neurophysiol 13:531-537, 1961.Crossref 13. Ervin FR, Brown CE, Mark VH: Striatal influence on facial pain . Confin Neurol 27:75-86, 1966.Crossref 14. Shealy CN, Mortimer JT, Hagfors NR: Dorsal column electroanalgesia . J Neurosurg 32:560-564, 1970.Crossref 15. Atkinson JR: Clinical monopolar stimulator implant on gasserian ganglion for anesthesia dolorosa. Read before the 32nd annual meeting of the American Academy of Neurological Surgery, Mexico City, 1970. 16. Schaltenbrand G, Bailey P: Introduction to Stereotaxis With an Atlas of the Human Brain . New York, Grune & Stratton Inc, 1959, vol 2. 17. Adams JE, Rutkin BB: Diagnostic telemetry from depth electrodes in epilepsy . Confin Neurol 34:363-367, 1972.Crossref 18. Obrador S, Dierssen G: Sensory responses to subcortical stimulation and management of pain disorders by stereotaxic methods . Confin Neurol 27:45-51, 1966.Crossref 19. Sano K, Yoshioka M, Ogashiwa M: Thalamolaninotomy: A new operation for relief of intractable pain . Confin Neurol 27:63-66, 1966.Crossref 20. Mortimer JT, Shealy CN, Wheeler C: Experimental nondestructive electrical stimulation of the brain and spinal cord . J Neurosurg 32:553-559, 1970.Crossref 21. Anderson LS, et al: Neuronal hyperactivity in experimental trigeminal deafferentation . J Neurosurg 35:444-452, 1971.Crossref 22. Procacci P: A survey of modern concepts of pain , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, American Elsevier Publishing Co, 1972, vol 1. 23. Zorub DS, Richardson DF: The thalamic projection of the extraleminiscal sensory system. Read before the American Association of Neurological Surgeons, Houston, 1971.

Journal

Archives of NeurologyAmerican Medical Association

Published: Sep 1, 1973

References