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Pain Research and Management
Volume 5 (2000), Issue 1, Pages 101-106
http://dx.doi.org/10.1155/2000/682131
Neurology and Chronic Pain

Neurosurgery for Chronic Neuropathic Pain

Jung Y Park and Andres M Lozano

Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neurosurgery can play a role in the management of patients with refractory chronic neuropathic pain. However, selecting patients as candidates for surgery and choosing the most appropriate surgical procedure is challenging, and surgical interventions often have limited efficacy. When considering surgery, neuroaugmentative or neuromodulative procedures (eg, peripheral, spinal, motor cortex or deep brain stimulation) are generally preferred over ablative procedures as initial modalities. With better understanding of specific pain mechanisms, surgery will have more to offer patients with chronic neuropathic pain.