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Stereotact Funct Neurosurg · Jan 2002
Clinical TrialMotor cortex stimulation in the treatment of deafferentation pain. I. Localization of the motor cortex.
- Marcos Velasco, Francisco Velasco, Francisco Brito, Ana Luisa Velasco, Jean Paul Nguyen, Irma Marquez, Bernardo Boleaga, and Yves Keravel.
- Department of Stereotactic and Functional Neurosurgery, General Hospital of Mexico, National Medical Center, Mexico City, Mexico. velascof@salud.gob.mx
- Stereotact Funct Neurosurg. 2002 Jan 1;79(3-4):146-67.
AbstractMRI and electrophysiological techniques to localize the primary motor cortex (MC) were performed on patients considered for MC stimulation for the treatment of deafferentation pain. The representation and trajectory of the rolandic fissure (RF) were accurately localized by external cranial landmarks and radiopaque fiducials superimposed on oblique MRI sections. In addition, the scalp distribution of the corticocortical responses elicited by acute epidural stimulation [motor cortex (MC) in frontal and sensory cortex (SC) in parietal scalp regions], and analgesic responses at the topographical representation of the painful periphery elicited by subacute epidural stimulation were found to be simple and reliable procedures to localize MC, SC and RF.Copyright 2002 S. Karger AG, Basel
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