Deep Brain Stimulation for Dejerine-Roussy Syndrome: Case Report

R. V. Alves; W. T. Asfora

doi:10.1055/s-0031-1280833

min - Minimally Invasive Neurosurgery, Table of Contents

Minim Invasive Neurosurg 2011; 54(04): 183-186
DOI: 10.1055/s-0031-1280833

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Deep Brain Stimulation for Dejerine-Roussy Syndrome: Case Report

R. V. Alves

¹Department of Neurosurgery, Hospital Beneficência Portuguesa, São Paulo, Brazil

,

W. T. Asfora

²Sanford School of Medicine and Sanford Clinic of Neurosurgery & Spine at Sanford USD Medical Center, University of South Dakota, Sioux Falls, South Dakota, USA

› Author Affiliations

Abstract

Background:

The term “central post-stroke pain” is more appropriate to describe neuropathic pain following a cerebrovascular accident. Most patients complain of burning and other symptoms like lacerating and shooting pain. Treatment options for central pain are limited in number and efficacy.

Case Report:

This paper reports on a 47-year-old man with central post-stroke pain refractory to treatment. The patient underwent insertion of a deep brain stimulator utilizing the Leksell frame. The target was the left centromedian thalamic nuclei. He had a qualitative symptomatic improvement.

Conclusion:

Deep brain stimulation can be a useful tool when all other modalities have failed. It is a minimally invasive neurosurgical procedure that may improve the quality of life in carefully selected (often desperate) patients with central post-stroke pain.

Key words

deep brain stimulation - Dejerine-Roussy syndrome - central post-stroke pain

Full Text

References

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