Erkan Kurt1, Dylan J H A Henssen2, Monique Steegers3, Michiel Staal4, Ulrich Beese5, Joseph Maarrawi6, Benoit Pirotte7, Luis Garcia-Larrea8, Dirk Rasche9, Jan Vesper10, Jan Holsheimer11, Wim Duyvendak12, Patrick Herregodts13, Robert van Dongen3, Maarten Moens14. 1. Department of Neurosurgery, Unit of Functional Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: erkan.kurt@radboudumc.nl. 2. Department of Neurosurgery, Unit of Functional Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Anatomy, Donders Institute for Brain Cognition & Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands. 3. Department of Anaesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands. 4. Department of Neurosurgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands. 5. Department of Anesthesiology, Pain Center, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands. 6. Laboratory of Neurosciences, PTS, Faculty of Medicine, St. Joseph University and Department of Neurosurgery, Hotel-Dieu de France Hospital, Beirut, Lebanon; Central Integration of Pain Lab (NeuroPain), Lyon Neuroscience Research Center, Inserm, Hospices Civils de Lyon & University Claude Bernard, Lyon, France. 7. Department of Neurosurgery, Erasme Hospital, University of Brussels, Brussels, Belgium. 8. Central Integration of Pain Lab (NeuroPain), Lyon Neuroscience Research Center, Inserm, Hospices Civils de Lyon & University Claude Bernard, Lyon, France. 9. Department of Neurosurgery, Medical Faculty Lübeck, University Hospital of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany. 10. Department of Stereotactic and Functional Neurosurgery, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany. 11. Institute for Technical Medicine (MIRA), University of Twente, Enschede, The Netherlands. 12. Department of Anesthesiology, Virga Jessa Hospital, Hasselt, Belgium. 13. Department of Neurosurgery and Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium. 14. Department of Neurosurgery and Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium.
Abstract
BACKGROUND: Motor cortex stimulation (MCS) was introduced in the early 1990s by Tsubokawa and his group for patients diagnosed with drug-resistant, central neuropathic pain. Inconsistencies concerning the details of this therapy and its outcomes and poor methodology of most clinical essays divide the neuromodulation society worldwide into "believers" and "nonbelievers." A European expert meeting was organized in Brussels, Belgium by the Benelux Neuromodulation Society in order to develop uniform MCS protocols in the preoperative, intraoperative, and postoperative courses. METHODS: An expert meeting was organized, and a questionnaire was sent out to all the invited participants before this expert meeting. An extensive literature research was conducted in order to enrich the results. RESULTS: Topics that were addressed during the expert meeting were 1) inclusion and exclusion criteria, 2) targeting and methods of stimulation, 3) effects of MCS, and 4) results from the questionnaire. CONCLUSIONS: Substantial commonalities but also important methodologic divergencies emerged from the discussion of MCS experts from 7 European Centers. From this meeting and questionnaire, all participants concluded that there is a need for more homogenous standardized protocols for MCS regarding patient selection, implantation procedure, stimulation parameters, and follow-up-course.
BACKGROUND: Motor cortex stimulation (MCS) was introduced in the early 1990s by Tsubokawa and his group for patients diagnosed with drug-resistant, central neuropathic pain. Inconsistencies concerning the details of this therapy and its outcomes and poor methodology of most clinical essays divide the neuromodulation society worldwide into "believers" and "nonbelievers." A European expert meeting was organized in Brussels, Belgium by the Benelux Neuromodulation Society in order to develop uniform MCS protocols in the preoperative, intraoperative, and postoperative courses. METHODS: An expert meeting was organized, and a questionnaire was sent out to all the invited participants before this expert meeting. An extensive literature research was conducted in order to enrich the results. RESULTS: Topics that were addressed during the expert meeting were 1) inclusion and exclusion criteria, 2) targeting and methods of stimulation, 3) effects of MCS, and 4) results from the questionnaire. CONCLUSIONS: Substantial commonalities but also important methodologic divergencies emerged from the discussion of MCS experts from 7 European Centers. From this meeting and questionnaire, all participants concluded that there is a need for more homogenous standardized protocols for MCS regarding patient selection, implantation procedure, stimulation parameters, and follow-up-course.
Authors: Martin Nüssel; Melanie Hamperl; Anna Maslarova; Shafqat R Chaudhry; Julia Köhn; Andreas Stadlbauer; Michael Buchfelder; Thomas Kinfe Journal: Pain Ther Date: 2020-12-16
Authors: Dylan Henssen; Erkan Kurt; Anne-Marie Van Cappellen van Walsum; Tamas Kozicz; Robert van Dongen; Ronald Bartels Journal: Sci Rep Date: 2020-04-28 Impact factor: 4.379
Authors: Dylan J H A Henssen; Erkan Kurt; Anne-Marie van Cappellen van Walsum; Inge Arnts; Jonne Doorduin; Tamas Kozicz; Robert van Dongen; Ronald H M A Bartels Journal: PLoS One Date: 2018-01-30 Impact factor: 3.240