motor cortex stimulation

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oreosandsake

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Just wondering if anyone has seen this, or referred anyone for this in the past (results?)

I saw 1 patient in fellowship with DBS for pain. she felt that it was "helpful" but also was still on many medications, and had some deep seeded psychiatric issues.

is this standard of care anywhere in the USA for patients to get referred for MCS? i know there is data for PLP, post stroke pain... anyone with experience?
 
I've seen 2 or 3 unsuccessful attempts out of OHSU's NS dept. No iatrogenic complications, just no relief.
 
Saw a patient a week or two ago with post-stroke central pain s/p MCS. He was still on methadone 5-10 tid and a couple anticonvulsants. Overall had decent pain control.
 
When I last looked at the literature a few years back I recall that most of the literature at that time was for use in refractory facial pain. I recall one of the authors of several articles was Jeff Brown who was then at Wayne State.
 
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