Neuromodulation : journal of the International Neuromodulation Society
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Occipital nerve stimulation (ONS) may provide relief for refractory headache disorders. However, scant data exist regarding long-term ONS outcomes. ⋯ Randomized controlled long-term studies in specific, intractable, primary headache disorders are indicated.
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Letter Case Reports
Treatment of contact dermatitis associated with spinal cord stimulator pulse generator--technical note.
Expanded polytetrafluoroethylene sheets have been successfully used as a biologic barrier in the treatment of pacemaker contact dermatitis. ⋯ This technique is an effective way of treating contact dermatitis related to implantable pulse generators, without the need for explantation of the neuromodulation system.
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Letter Case Reports
Coccygeal fracture pain cured by sacral neuromodulation: a case report.
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To review the current state of cerebral stimulation for neuropathic pain and to propose that cerebral stimulation should aim also at the affective sphere of chronic pain rather than solely focusing on the primary sensory-discriminative sphere. ⋯ Cerebral neuromodulation for neuropathic pain has had limited efficacy thus far. Shifting our aim to neural networks related to the affective sphere of pain may allow us to reduce pain conditioning and pain-related disability. Our ultimate goal is to promote rehabilitation from chronic pain-social and occupational.
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Spinal cord stimulation (SCS) by high-frequency electrical pulses has been used since the early 1970s for relief of chronic intractable pain following limb amputation. The long-term effectiveness of SCS for amputation-related pain with ongoing after-care is reviewed by assessment of all such cases managed over 20 years in the Neurostimulator Clinic at the Royal London Hospital. ⋯ Successful SCS in some patients with amputation-related pain otherwise resistant to treatment indicates that the procedure merits continued use with further efforts to refine technique.