Deep brain and motor cortex stimulation for post-stroke movement disorders and post-stroke pain

摘要: Our experience of deep brain stimulation (DBS) and motor cortex (MCS) in patients with post-stroke movement disorders pain is reviewed. DBS the thalamic nuclei ventralis oralis posterior et intermedius proved to be useful more than 70% involuntary movements (hemiballismus, hemichoreo-athetosis, distal resting and/or action tremor, proximal postural tremor). The effect nucleus caudalis or internal capsule on was usually disappointing. Excellent control can achieved by MCS approximately 50% pain. In course clinical trials for pain, it found that co-existent (hemichoreo-athetosis tremor) could also controlled MCS. Post-stroke movements, especially those syndrome, are sometimes associated such disorders, attenuated, but same often exacerbated intermedins. therapy choice under circumstances. Subjective improvement voluntary performance, which had been impaired association mild moderate hemiparesis, reported during 20% Such an performance appears caused inhibition their rigidity. reversibility makes them important option