Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain: Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review

Erkan Kurt, Dylan J H A Henssen, Monique Steegers, Michiel Staal, Ulrich Beese, Joseph Maarrawi, Benoit Pirotte, Luis Garcia-Larrea, Dirk Rasche, Jan Vesper, Jan Holsheimer, Wim Duyvendak, Patrick Herregodts, Robert van Dongen, Maarten Moens

Research output: Contribution to journalReview articleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)254-263
Number of pages10
JournalWorld Neurosurgery
Volume108
DOIs
Publication statusPublished - Dec 2017

Cite this

Kurt, Erkan ; Henssen, Dylan J H A ; Steegers, Monique ; Staal, Michiel ; Beese, Ulrich ; Maarrawi, Joseph ; Pirotte, Benoit ; Garcia-Larrea, Luis ; Rasche, Dirk ; Vesper, Jan ; Holsheimer, Jan ; Duyvendak, Wim ; Herregodts, Patrick ; van Dongen, Robert ; Moens, Maarten. / Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain : Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review. In: World Neurosurgery. 2017 ; Vol. 108. pp. 254-263.
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title = "Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain: Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review",
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.",
keywords = "Belgium, Chronic Pain/therapy, Congresses as Topic, Electric Stimulation Therapy/methods, Europe, Expert Testimony, Humans, Motor Cortex, Neuralgia/therapy, Patient Selection, Prognosis, Surveys and Questionnaires, Transcranial Magnetic Stimulation",
author = "Erkan Kurt and Henssen, {Dylan J H A} and Monique Steegers and Michiel Staal and Ulrich Beese and Joseph Maarrawi and Benoit Pirotte and Luis Garcia-Larrea and Dirk Rasche and Jan Vesper and Jan Holsheimer and Wim Duyvendak and Patrick Herregodts and {van Dongen}, Robert and Maarten Moens",
note = "Copyright {\circledC} 2017 Elsevier Inc. All rights reserved.",
year = "2017",
month = "12",
doi = "10.1016/j.wneu.2017.08.168",
language = "English",
volume = "108",
pages = "254--263",
journal = "World Neurosurgery",
issn = "1878-8750",
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Kurt, E, Henssen, DJHA, Steegers, M, Staal, M, Beese, U, Maarrawi, J, Pirotte, B, Garcia-Larrea, L, Rasche, D, Vesper, J, Holsheimer, J, Duyvendak, W, Herregodts, P, van Dongen, R & Moens, M 2017, 'Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain: Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review' World Neurosurgery, vol. 108, pp. 254-263. https://doi.org/10.1016/j.wneu.2017.08.168

Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain : Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review. / Kurt, Erkan; Henssen, Dylan J H A; Steegers, Monique; Staal, Michiel; Beese, Ulrich; Maarrawi, Joseph; Pirotte, Benoit; Garcia-Larrea, Luis; Rasche, Dirk; Vesper, Jan; Holsheimer, Jan; Duyvendak, Wim; Herregodts, Patrick; van Dongen, Robert; Moens, Maarten.

In: World Neurosurgery, Vol. 108, 12.2017, p. 254-263.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - Motor Cortex Stimulation in Patients Suffering from Chronic Neuropathic Pain

T2 - Summary of Expert Meeting and Premeeting Questionnaire, Combined with Literature Review

AU - Kurt, Erkan

AU - Henssen, Dylan J H A

AU - Steegers, Monique

AU - Staal, Michiel

AU - Beese, Ulrich

AU - Maarrawi, Joseph

AU - Pirotte, Benoit

AU - Garcia-Larrea, Luis

AU - Rasche, Dirk

AU - Vesper, Jan

AU - Holsheimer, Jan

AU - Duyvendak, Wim

AU - Herregodts, Patrick

AU - van Dongen, Robert

AU - Moens, Maarten

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017/12

Y1 - 2017/12

N2 - 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.

AB - 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.

KW - Belgium

KW - Chronic Pain/therapy

KW - Congresses as Topic

KW - Electric Stimulation Therapy/methods

KW - Europe

KW - Expert Testimony

KW - Humans

KW - Motor Cortex

KW - Neuralgia/therapy

KW - Patient Selection

KW - Prognosis

KW - Surveys and Questionnaires

KW - Transcranial Magnetic Stimulation

U2 - 10.1016/j.wneu.2017.08.168

DO - 10.1016/j.wneu.2017.08.168

M3 - Review article

VL - 108

SP - 254

EP - 263

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -