Neurol Neurochir Pol
-
Neurol Neurochir Pol · May 2005
Case Reports[Motor cortex stimulation in the central pain syndrome].
We present a case of a 45-year-old male, treated with motor cortex stimulation (MCS). The procedure was performed in order to decrease symptoms of the central pain syndrome (CPS), which developed seven years earlier, after a left-side, cerebellum and brainstem ischemic stroke. The syndrome is defined as pain due to primary damage or dysfunction of the central nervous system. ⋯ The procedure of electrode implantation to motor cortex is a relatively new treatment option in refractory central and neuropathic pain syndromes. The number of described procedures does not exceed 500 worldwide. The presented case is to our knowledge the first procedure of its type in Poland, giving hope to CPS patients, whose symptoms are otherwise difficult to treat.
-
Neurol Neurochir Pol · May 2005
[Intraoperative assessment of cognitive and executive functions in patients with brain tumors].
The aim of this paper was to evaluate the usefulness of selected methods of intraoperative neuropsychological assessment. In order to investigate the influence of the direct cortical stimulation and tumor resection on the patients' intraoperative performance, we examined selected areas of cerebral cortex involved in cognitive activity in patients undergoing awake craniotomy for brain tumors. ⋯ We showed that the presented methods of intraoperative assessment of cognitive activity were useful and appropriate for the identification of the eloquent areas of the brain.