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Praktische Schmerzmedizin pp 139–161Cite as

Interventionelle Verfahren

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Zusammenfassung

Mit dem Begriff Neuromodulationsverfahren werden nichtdestruktive, reversible schmerztherapeutische Verfahren am peripheren oder zentralen Nervensystem bezeichnet. Diese beinhalten Stimulationsverfahren mittels extern applizierter oder implantierter Elektroden und die intrathekale Medikamentengabe. Diese Methoden haben heutzutage die destruktiven Verfahren weitgehend abgelöst. In den letzten Jahren wurde versucht, die Wertigkeit und Wirksamkeit dieser Verfahren durch randomisierte kontrollierte Studien – wenn auch ohne Verblindung – im Langzeiterfolg zu belegen. Grundsätzlich muss man bei der Indikationsstellung die Schmerzursache, Malignom-bedingte Schmerzen und Schmerzen nichtmaligner Ursache trennen. Gerade bei chronischen Schmerzen nichtmaligner Ursache müssen weniger invasive oder konservative Verfahren ausgeschöpft sein und die Patienten einer psychologisch-psychiatrischen Evaluation unterzogen werden, bevor invasive Verfahren zum Einsatz kommen.

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Authors and Affiliations

  1. Klinik für Neurochirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Ratzeburger Allee 160, 23538

    Prof. Dr. med. V. Tronnier

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  1. Prof. Dr. med. V. Tronnier
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  1. Sektion Neurologische Schmerzforschung und -therapie Klinik für Neurologie, Universitätsklinikum Schleswig-Holstein Campus Kiel, Kiel, Arnold-Heller-Straße 3, Haus 41, 24105

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Carl-Neuberg-Straße 1, 30625

    Wolfgang Koppert

  3. Schmerz-Tagesklinik und -Ambulanz, Universitätsmedizin Göttingen, Göttingen, Robert-Koch-Straße 40, 37075

    Anne Willweber-Strumpf

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Tronnier, V. (2013). Interventionelle Verfahren. In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37605-4_14

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  • DOI: https://doi.org/10.1007/978-3-642-37605-4_14

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