Brain Stimulation for the Neuropathic Pain’s Treatment
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Abstract
Despite of the advance of pharmacological therapies in the last decades, therapeutic approaches to the treatment of neuropathic pain are still non-satisfactory. The patient full recovery in their daily activities is still a challenge and is based on an interdisciplinary approach involving others interventions than pharmacological one. One of the challenges in treating chronic pain is that the disorder leads to plastic changes in the brain that support this condition. The development of brain stimulation techniques shows that these methods can be an important option in pain management. Recent studies have shown that these techniques revert plastic alterations for a long period of time. One simple, low-cost and secure technique of brain stimulation is the transcranial direct current stimulation. It is a non-invasive and painless procedure able to modulate locally the brain activity, providing therapeutic effects. Because of chronic pain is a debilitating symptom, one of the most important in the quality of life and is associated with a dysfunction of the central nervous system, brain stimulation may have a beneficial effect in this group of patients.
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References
ACCORNERO, N. et al. Visual evoked potentials modulation during direct current cortical polarization. Exp. Brain Res, v. 178, n. 2, p. 261-266, 2007.
ANTAL, A. et al. Excitability changes induced in the human primary visual cortex by transcranial direct current stimulation: direct electrophysiological evidence. Invest. Ophthalmol. Vis. Sci., v. 45, n. 2, p. 702-707, 2004.
AVERY, D. H. et al. Transcranial magnetic stimulation reduces pain in patients with major depression: a sham-controlled study. J. Nerv. Ment. Dis., v. 195, n. 5, p. 378-381, 2007.
BARON, R. Mechanisms of disease: neuropathic pain – a clinical perspective. Nature Clinical Practice Neurology, v. 2, n. 2, p. 95-106, 2006.
BOGGIO, P. S. et al. Effects of transcranial direct current stimulation on working memory in patients with Parkinson’s disease. J. Neurol. Sci., v. 249, n. 1, p. 31-38, 2006.
BOGGIO, P. S. et al. A randomized, double-blind clinical trial on the efficacy of cortical direct current stimulation for the treatment of major depression. Int. J. Neuropsychopharmacol., 2007. No prelo.
BOWSHER, D. Neurogenic pain syndromes and their management. Br. Med. Bull., v. 47, n. 3, p. 644-666, 1991.
CARTER, G. T.; GALER, B. S. Advances in the management of neuropathic pain. Phys. Med. Rehabilil. Clin. N. Am., v. 12, n. 2-4. p. 47-459, 2001.
FINNERUP, N. B. et al. Algorithm for neuropathic pain treatment: an evidence based proposal. Pain v. 118, n. 3, p. 289-305, 2005.
FREGNI, F.; PASCUAL-LEONE, A. Technology insight: noninvasive brain stimulation in neurology-perspectives on the therapeutic potential of rTMS and tDCS. Nat. Clin. Pract. Neurol., v. 3, n. 7, p. 383-393, 2007.
FREGNI, F. et al. Anodal transcranial direct current stimulation of prefrontal cortex enhances working memory. Exp. Brain. Res., v. 166, n. 1, p. 23-30, Sep. 2005.
FREGNI, F. et al. A sham-controlled, phase II trial of transcranial direct current stimulation for the treatment of central pain in traumatic spinal cord injury. Pain, v. 122, n. 1-2, p. 197-209, 2006a.
FREGNI, F. et al. A randomized, sham-controlled, proof of principle study of transcranial direct current stimulation for the treatment of pain in fibromyalgia. Arthritis Rheum., v. 54, n. 12. p. 3988-3998, 2006b.
GARCIA-LARREA, L. et al. Electrical stimulation of motor cortex for pain control: a combined PET-scan and electrophysiological study. Pain, v. 83, n. 2, p. 259–273, 1999.
GEHA, P. Y.; APKARIAN, A. V. Brain imaging findings in neuropathic pain. Curr. Pain Headache Rep., v. 9, n. 3, p. 184-188, 2005.
KIM, S. H. Skin biopsy findings: implications for the pathophysiology of fibromyalgia. Med. Hypotheses, v. 69, n. 1. p. 141-144, 2007.
KINCSES, T. Z. et al. Facilitation of probabilistic classification learning by transcranial direct current stimulation of the prefrontal cortex in the human. Neuropsychologia, v. 42, n. 1, p. 113-117, 2004.
KWIATEK, R. et al. Regional cerebral blood flow in fibromyalgia: singlephoton–emission computed tomography evidence of reduction in the pontine tegmentum and thalami. Arthritis Rheum., v. 43, n. 12, p. 2823-2833, 2000.
LANG, N. et al. How does transcranial DC stimulation of the primary motor cortex alter regional neuronal activity in the human brain? Eur. J. Neurosci., v. 22, n. 2, p. 495-504, 2005.
LEFAUCHEUR, J. P. The use of repetitive transcranial magnetic stimulation (rTMS) in chronic neuropathic pain. Neurophysiologie Clinique, v. 36, n. 3, p. 117-124, 2006.
MAARRAWI, J. et al. Motor cortex stimulation for pain control induces changes in the endogenous opioid system. Neurology, v. 69, n. 9, p. 827-834, 2007.
MERSKEY, H.; BOGDUK, N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2. ed. Seattle: Iasp; 1994.
NITSCHE, M. A. et al. Modulation of cortical excitability by weak direct current stimulation-technical, safety and functional aspects. Suppl. Clin. Neurophysiol., v. 56, p. 255-276, 2003a.
NITSCHE, M. A. et al. Safety criteria for transcranial direct current stimulation (tDCS) in humans. Clin. Neurophysiol., v. 114, n. 11, p. 2220-2222; author reply 2222-2223, 2003b.
NITSCHE, M. A. et al. Facilitation of implicit motor learning by weak transcranial direct current stimulation of the primary motor cortex in the human. J. Cogn. Neurosci., v. 15, n. 4, p. 619-626, 2003c.
NITSCHE, M. A. et al. MRI study of human brain exposed to weak direct current stimulation of the frontal cortex. Clin. Neurophysiol., v. 115, n. 10, p. 2419-2423, 2004.
O’ REARDORN, J. P. et al. A. Efficacy and safety of transcranial magnetic stimulation in the acute treatment of major depression: a multisite randomized controlled trial. Biol. Psychiatry, 2007. No prelo.
PURPURA, D. P.; MCMURTRY, J. G. Intracellular activities and evoked potential changes during polarization of motor cortex. Journal of Neurophysiology, v. 28, n. 1, p. 166-185, 1965.
STANOS, S. P.; TYBURSKI, M. D.; HARDEN, R. N. Managment of Chronic pain. In: BRADDOM, R. L. (Eds.) Physical Medicine & Rehabilitation. Philadelphia: WB Saunders; p. 951-988, 2007.
TEIXEIRA, M. J. Dor por avulsão de raízes nervosas. Rev. Méd., v. 78, n. 2, p. 197-200, 1999.
TSUBOKAWA, T. et al. Treatment of thalamic pain by chronic motor cortex stimulation. Pacing Clin. Electrophysiol., v. 14, n. 1, p. 131-134, 1991.
TURK, D. Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain. Clin. J. Pain, v. 18, n. 6, p. 355-365, 2002.