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Long-term follow-up of motor cortex stimulation on central poststroke pain in thalamic and extrathalamic stroke.

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收录情况： ◇ SCIE

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机构： [1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Department of Neurosurgery, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China [3]Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen University, Shenzhen, China

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关键词： central poststroke pain electric stimulation therapy motor cortex stimulation transcranial magnetic stimulation visual analog pain scale

摘要：

To investigate the long-term effects of motor cortex stimulation (MCS) on central poststroke pain (CPSP) in patients with thalamic and extrathalamic stroke.We retrospectively analyzed 21 cases of CPSP patients who were treated with MCS. Pain intensity was evaluated using the visual analog scale (VAS) and Neuropathic Pain Symptom Inventory (NPSI) before the operation and at follow-up assessments. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI).The average follow-up time was 65.43 ± 26.12 months. In the thalamus stroke group (n = 11), the mean preoperative VAS score was 8.18 ± 0.75 and the final mean follow-up VAS score was 4.0 ± 2.14. The mean total NPSI score at the last follow-up (20.45 ± 12.7) was significantly reduced relative to the pre-MCS score (30.27 ± 8.97, p < 0.001). Similarly, the mean PSQI value at the last follow-up (12.63 ± 1.91) was significantly reduced compared with the pre-MCS value (16.55 ± 1.97, p < 0.001). In the extrathalamic stroke group (n = 11), the mean preoperative VAS score was 8.2 ± 0.79 and the final mean follow-up VAS score was 6.6 ± 2.12. The mean total NPSI score before MCS was not statistically different from that at the last follow-up. There were no statistical differences in sleep quality before versus after surgery.Motor cortex stimulation has higher long-term efficacy in CPSP patients with stroke confined to the thalamus than in CPSP patients with stroke involving extrathalamic structures.© 2022 World Institute of Pain.

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出版当年[2021]版：

大类 | 3 区医学

小类 | 3 区麻醉学 3 区临床神经病学

最新[2023]版：

大类 | 3 区医学

小类 | 4 区麻醉学 4 区临床神经病学

JCR分区：

出版当年[2020]版：

Q3 CLINICAL NEUROLOGY Q3 ANESTHESIOLOGY

最新[2023]版：

Q2 ANESTHESIOLOGY Q2 CLINICAL NEUROLOGY

影响因子： 2.5 最新[2023版] 2.8 最新五年平均 3.183 出版当年[2020版] 2.986 出版当年五年平均 2.258 出版前一年[2019版] 3.079 出版后一年[2021版]

第一作者：

第一作者机构： [1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China

通讯作者：

通讯机构： [1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [*1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Beijing 100053, China.

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Long-term follow-up of motor cortex stimulation on central poststroke pain in thalamic and extrathalamic stroke.

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