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Dorsal Column Stimulation: Its Effect on the Somatosensory Evoked Response

Dorsal Column Stimulation: Its Effect on the Somatosensory Evoked Response Abstract • Several authors have shown that dorsal column stimulation (DCS) modifies appreciation of pain. We studied the effects of DCS on the somatosensory evoked response (SER) in six subjects. Somatosensory evoked responses to stimulation of the tibial nerve and effects of varying frequencies and intensities of DCS on SER components were recorded. During DCS there was attenuation of late SER components with little effect on early components. Stimulus intensities greater than necessary to relieve pain suppressed all SER components. Our findings suggest that the minimal effective DCS variables to relieve pain are those that produce selective suppression of late SER components. References 1. Shealy CN, Mortimer JT, Reswick HP; Electrical inhibition of pain by stimulation of the dorsal columns . Anaesth Analg 46:489-491, 1967. 2. Nashold BS Jr, Friedman H: Dorsal column stimulation for control of pain: Preliminary report on 30 patients . J Neurosurg 36:590-597, 1972.Crossref 3. Burton C: Seminar on dorsal column stimulation: Summary of proceedings . Surg Neurol 1:285-289, 1973. 4. Melzack R, Wall PD: Pain mechanisms: A new theory . Science 150:971-979, 1965.Crossref 5. Grieshop J, Goldstein FP, Larson SJ, et al: Spinal electroanaesthesia: Its relationship to somatosensory cerebral evoked potentials , in Wagender FM, Schuy ST (eds): Electrotherapeutic Sleep and Electroanaesthesia . Amsterdam, Excerpta Medica, 1970, vol 2, pp 33-37. 6. Larson SJ, Sances A Jr, Reigel DH, et al: Neurophysiological effects of dorsal column stimulation. Read before the 41st annual meeting of the American Association of Neurological Surgeons, Los Angeles, 1973. 7. Allison T, Goff WR, Abrahamian HA, et al: The effect of barbiturate anaesthesia on human somatosensory evoked responses . Electroencephalogr Clin Neurophysiol , (suppl 24) , pp 68-75, 1963. 8. Gastaut H, Regis H, Lyagoubi S, et al: Comparison of the potentials recorded from the occipital temporal and central regions of the human scalp, evoked by visual, auditory and somatosensory stimuli . Electroencephalogr Clin Neurophysiol 26:19-28, 1967. 9. Uttal WR, Cook L: Systematics of the evoked somatosensory cortical potential: A psychophysiological comparison . Ann NY Acad Sci 112:60-80, 1964.Crossref 10. Noordenbos W: Pain . Amsterdam, Elsevier Publishing Co, 1959. 11. Melzack R, Konrad K, Dubrovsky B: Prolonged changes in central nervous system activity produced by somatic and reticular stimulation . Exp Neurol 25:416-428, 1969.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Dorsal Column Stimulation: Its Effect on the Somatosensory Evoked Response

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1975.00490540070009
Publisher site
See Article on Publisher Site

Abstract

Abstract • Several authors have shown that dorsal column stimulation (DCS) modifies appreciation of pain. We studied the effects of DCS on the somatosensory evoked response (SER) in six subjects. Somatosensory evoked responses to stimulation of the tibial nerve and effects of varying frequencies and intensities of DCS on SER components were recorded. During DCS there was attenuation of late SER components with little effect on early components. Stimulus intensities greater than necessary to relieve pain suppressed all SER components. Our findings suggest that the minimal effective DCS variables to relieve pain are those that produce selective suppression of late SER components. References 1. Shealy CN, Mortimer JT, Reswick HP; Electrical inhibition of pain by stimulation of the dorsal columns . Anaesth Analg 46:489-491, 1967. 2. Nashold BS Jr, Friedman H: Dorsal column stimulation for control of pain: Preliminary report on 30 patients . J Neurosurg 36:590-597, 1972.Crossref 3. Burton C: Seminar on dorsal column stimulation: Summary of proceedings . Surg Neurol 1:285-289, 1973. 4. Melzack R, Wall PD: Pain mechanisms: A new theory . Science 150:971-979, 1965.Crossref 5. Grieshop J, Goldstein FP, Larson SJ, et al: Spinal electroanaesthesia: Its relationship to somatosensory cerebral evoked potentials , in Wagender FM, Schuy ST (eds): Electrotherapeutic Sleep and Electroanaesthesia . Amsterdam, Excerpta Medica, 1970, vol 2, pp 33-37. 6. Larson SJ, Sances A Jr, Reigel DH, et al: Neurophysiological effects of dorsal column stimulation. Read before the 41st annual meeting of the American Association of Neurological Surgeons, Los Angeles, 1973. 7. Allison T, Goff WR, Abrahamian HA, et al: The effect of barbiturate anaesthesia on human somatosensory evoked responses . Electroencephalogr Clin Neurophysiol , (suppl 24) , pp 68-75, 1963. 8. Gastaut H, Regis H, Lyagoubi S, et al: Comparison of the potentials recorded from the occipital temporal and central regions of the human scalp, evoked by visual, auditory and somatosensory stimuli . Electroencephalogr Clin Neurophysiol 26:19-28, 1967. 9. Uttal WR, Cook L: Systematics of the evoked somatosensory cortical potential: A psychophysiological comparison . Ann NY Acad Sci 112:60-80, 1964.Crossref 10. Noordenbos W: Pain . Amsterdam, Elsevier Publishing Co, 1959. 11. Melzack R, Konrad K, Dubrovsky B: Prolonged changes in central nervous system activity produced by somatic and reticular stimulation . Exp Neurol 25:416-428, 1969.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Dec 1, 1975

References