Dieckmann G
Langenbecks Arch Chir. 1976 Nov 15;342:109-15. doi: 10.1007/BF01267355.
The indications for central stereotactic procedures in chronic painful states are essential neuralgia, postherpetic neuralgia, anaesthesia dolorosa, causalgia, phantom-limb pain, the thalamic syndrome and pain neoplastic diseases. Stereotactic surgery applied for these conditions consists of nucleotomy of the tractus spinalis nervi trigemini, mesencephalotomy, thalamotomy, hypophysectomy, psychosurgical interventions, and chronic stimulation with implanted electrodes. The techniques and results of the interventions are reported.
慢性疼痛状态下中枢立体定向手术的适应证包括原发性神经痛、带状疱疹后神经痛、痛性麻木、灼性神经痛、幻肢痛、丘脑综合征以及疼痛性肿瘤疾病。针对这些病症实施的立体定向手术包括三叉神经脊束核切开术、中脑切开术、丘脑切开术、垂体切除术、精神外科干预以及植入电极的慢性刺激。文中报告了这些干预措施的技术及结果。