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摘要

From the very beginning of neuromodulation the inquisitive minds of clinicians explored all possible targets for application of electrical energy to treat pain and other symptoms-ranging from nerve endings in the periphery to the deep nuclei and cortex of the brain. With almost universal acceptance of spinal cord stimulation (SCS) as the primary modality for treatment of pain, the other targets were essentially abandoned for a long time. Despite ongoing SCS dominance, peripheral nerve stimulation enjoyed resurgence of interest over the last two and a half decades among pain practitioners, whereas nerve roots and brain are now main targets for interventions in genitourinary (sacral nerve roots), movement (basal ganglia and thalamus), and psychiatric (internal capsule, cortical and subcortical regions) disorders.
机译:从神经调节的一开始,临床医生的好奇心就探索了应用电能治疗疼痛和其他症状的所有可能目标,范围从周围的神经末梢到大脑的深核和皮质。由于几乎普遍接受脊髓刺激(SCS)作为治疗疼痛的主要方式,因此其他目标在很长一段时间内都被放弃了。尽管SCS一直占据主导地位,但在过去的两个半月中,疼痛练习者对周围神经刺激的兴趣重新兴起,而神经根和大脑现在是泌尿生殖系统(s神经根),运动(基底神经节和丘脑)干预的主要目标。和精神病(内囊,皮质和皮质下区域)疾病。

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