Хроническая электростимуляция спинного мозга у пациентов с хронической болью

Исагулян Э.Д.

ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н.Н. Бурденко» Минздрава России

Славин К.В.

Университетская клиника Чикаго

Томский А.А.

Асриянц С.В.

Макашова Е.С.

ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н.Н. Бурденко» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)

Дорохов Е.В.

Исагулян Д.Э.

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)

Хроническая электростимуляция спинного мозга у пациентов с хронической болью

Журнал: Журнал неврологии и психиатрии им. С.С. Корсакова. 2020;120(8): 160-166

DOI 10.17116/jnevro2020120081160

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Исагулян Э.Д., Славин К.В., Томский А.А., Асриянц С.В., Макашова Е.С., Дорохов Е.В., Исагулян Д.Э. Хроническая электростимуляция спинного мозга у пациентов с хронической болью. Журнал неврологии и психиатрии им. С.С. Корсакова. 2020;120(8):160-166. https://doi.org/10.17116/jnevro2020120081160

Авторы:

Исагулян Э.Д.

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При широком арсенале лекарственной терапии доля фармакорезистентной нейропатической боли остается достаточно высокой и составляет около 5%. У этой группы пациентов применяют интервенционные методы лечения, в том числе — хронической электростимуляции. Хроническая электростимуляция спинного мозга (spinal cord stimulation — SCS) — самое частое хирургическое вмешательство, проводимое для лечения боли, во всем развитом мире, которое оттеснило на задний план деструктивные и аблятивные процедуры. В настоящее время используют классическую тоническую стимуляцию спинного мозга, высокочастотную HF-10 и burst-стимуляцию, а выбор метода основан на клинических и нейрофизиологических данных. Кроме того, появление микростимуляторов, основанных на принципе нанотехнологии, может значительно уменьшить инвазивность всего направления спинальной стимуляции.

Ключевые слова:

электростимуляция спинного мозга

хроническая боль

нейропатическая боль

Авторы:

Исагулян Э.Д.

Славин К.В.

Университетская клиника Чикаго

Томский А.А.

Асриянц С.В.

Макашова Е.С.

Дорохов Е.В.

Исагулян Д.Э.

Даты поступления:

18.10.2019

Даты принятия в печать:

06.11.2019

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