Deep brain stimulation for Dejerine-Roussy syndrome: case report.

Abstract

BACKGROUND:

The term "central post-stroke pain" is more appropriate to describe neuropathic pain following a cerebrovascular accident. Most patients complain of burning and other symptoms like lacerating and shooting pain. Treatment options for central pain are limited in number and efficacy.

CASE REPORT:

This paper reports on a 47-year-old man with central post-stroke pain refractory to treatment. The patient underwent insertion of a deep brain stimulator utilizing the Leksell frame. The target was the left centromedian thalamic nuclei. He had a qualitative symptomatic improvement.

CONCLUSION:

Deep brain stimulation can be a useful tool when all other modalities have failed. It is a minimally invasive neurosurgical procedure that may improve the quality of life in carefully selected (often desperate) patients with central post-stroke pain.

• Authors: R V Alves, W T Asfora
• Journal: Minimally invasive neurosurgery : MIN (Minim Invasive Neurosurg) Vol. 54 Issue 4 Pg. 183-6 (Aug 2011) ISSN: 1439-2291 [Electronic] Germany
• PMID: 21922448 (Publication Type: Case Reports, Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Deep Brain Stimulation (methods)
• Humans
• Magnetic Resonance Angiography
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Pain, Intractable (etiology, pathology, therapy)
• Stroke (complications)
• Thalamic Diseases (etiology, pathology, therapy)
• Treatment Outcome