Epidural Motor Cortex Stimulation for Intractable Thalamic Pain: A case report.

, Kim, Jong Kyu; , Shin, Soo Beom

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(1):86-88.

¹Department of Neurosurgery, Chosun University College of Medicine.
²Department of Rehabilitation Medicine, Chosun University College of Medicine. smalltoy@paran.com

난치성 시상부 통증에 대한 경막외 운동 피질 자극술 ⁣증례 보고⁣

김종규¹, 신수범

조선대학교 의과대학 ¹신경외과학교실, 재활의학교실

Abstract

Motor cortex stimulation is a new technique for post-stroke central pain. The authors reported a case of epidural motor cortex stimulation for thalamic pain after right thalamic intracerebral hematoma. The patient was a 52 year old female who had presented with neuropathic pain on left upper and lower extremity. The authors performed epidural motor cor-tex stimulation via a small craniotomy site by use of navigation system. Good relief of the pain was achieved. Postoperative visual analogue scale pain score decreased from 9 to 3. The epidural trial of motor cortex stimulation was an effective method in treating refractory thalamic pain as our case. (J Korean Acad Rehab Med 2006; 30: 86-88)

Key Words: Epidural motor cortex stimulation, Thalamic pain