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

doi: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

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

Department of Neurosurgery, Unit of Functional Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: [email protected].
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.
From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.)...
Department of Anesthesiology, Pain Center, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands.
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.
Department of Neurosurgery, Erasme Hospital, University of Brussels, Brussels, Belgium.
Central Integration of Pain Lab (NeuroPain), Lyon Neuroscience Research Center, Inserm, Hospices Civils de Lyon & University Claude Bernard, Lyon, France.
Department of Neurosurgery, Medical Faculty Lübeck, University Hospital of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Department of Stereotactic and Functional Neurosurgery, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands.
Department of Anesthesiology, Virga Jessa Hospital, Hasselt, Belgium.
Department of Neurosurgery and Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium.
Department of Anaesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Neurosurgery and Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium.

Research output: Contribution to journal › Review article › Academic › peer-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 language	English
Pages (from-to)	254-263
Number of pages	10
Journal	World neurosurgery
Volume	108
DOIs	https://doi.org/10.1016/j.wneu.2017.08.168
Publication status	Published - Dec 2017

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

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Cite this

Kurt, E., Henssen, D. J. H. A., 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, 108, 254-263. https://doi.org/10.1016/j.wneu.2017.08.168

@article{1f041f3193f64f11b5ea9c2a5d8981b8,

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",

year = "2017",

month = dec,

doi = "10.1016/j.wneu.2017.08.168",

language = "English",

volume = "108",

pages = "254--263",

journal = "World neurosurgery",

issn = "1878-8750",

publisher = "Elsevier Inc.",

}

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 et al.
In: World neurosurgery, Vol. 108, 12.2017, p. 254-263.

Research output: Contribution to journal › Review article › Academic › peer-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

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

SN - 1878-8750

VL - 108

SP - 254

EP - 263

JO - World neurosurgery

JF - World neurosurgery

ER -

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

Abstract

Keywords

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