Advances and technical standards in neurosurgery. / Vol. 37 - download pdf or read online

By J D Pickard; et al

ISBN-10: 3709106737

ISBN-13: 9783709106730

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47 47 49 52 53 Abstract Neuropathic pain (NP) may become refractory to conservative medical management, necessitating neurosurgical procedures in carefully selected cases. In this context, the functional neurosurgeon must have suitable knowledge of the disease he or she intends to treat, especially its pathophysiology. This latter factor has been studied thanks to advances in the functional exploration of NP, which will be detailed in this review.

47 47 49 52 53 Abstract Neuropathic pain (NP) may become refractory to conservative medical management, necessitating neurosurgical procedures in carefully selected cases. In this context, the functional neurosurgeon must have suitable knowledge of the disease he or she intends to treat, especially its pathophysiology. This latter factor has been studied thanks to advances in the functional exploration of NP, which will be detailed in this review.

137]). New-generation thermodes make it possible to evoke potentials related to pain responses to contact with painful heat stimulation, but need to be standardized [73]. Radiant heat stimulation, produced by laser application, can circumvent most of the difficulties inherent in electrical or contact-heat stimuli by providing selective activation of A- and C-thermosensitive nociceptors in hairy skin, without concomitant activation of mechanoreceptors and A-ß fibers. The most commonly used monochromatic high-intensity light sources are CO2, argon and solid-state (YAG=YAP) lasers.

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Advances and technical standards in neurosurgery. / Vol. 37 by J D Pickard; et al


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