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Spinal cord stimulator: Design and function

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Spinal Cord Stimulation

Abstract

Melzack and Wall published their gate control theory of pain in 1965 [8]. They proposed that small-fiber input associated with noxious (pain) information could be inhibited by large-fiber sensory activation. Pain perception depended upon the balance between large- and small-fiber input. They suggested that antidromic activation of the large diameter afferent fibers in the dorsal columns of the spinal cord could inhibit small-fiber input in the dorsal horns, thereby modulating the perception of pain.

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References

  1. Augustinsson LE, Carlsson CA, Holm J, Jivegard L (1985) Epidural electrical stimulation in severe limb ischemia. Ann Surg 202:104–110

    Article  PubMed  CAS  Google Scholar 

  2. Coburn B, Sin W (1985) A theoretical study of epidural electrical stimulation of the spinal cord — part I: Finite element analysis of stimulus fields. IEEE Trans Biomed Eng 32:971–977

    Google Scholar 

  3. Coburn B (1985) A theoretical study of epidural electrical stimulation of the spinal cord -part II: Effects on long myelinated fibers. IEEE Trans Biomed Eng 32:978–986

    Article  PubMed  CAS  Google Scholar 

  4. Fox J (1974) Dorsal column stimulation for relief of intractable pain: problems encountered with neuropacemakers. Surg Neurol 2:59–64

    PubMed  CAS  Google Scholar 

  5. Jacobs MJHM, Jörning PJG, Joshi SR, Kitslaar PJEHM, Slaaf DW, Reneman RS (1988) Epidural spinal cord electrical stimulation improves microvascular blood flow in severe limb ischemia. Ann Surg 207:179–183

    Article  PubMed  CAS  Google Scholar 

  6. Linderoth B, Fedorcsak I, Meyerson BA (1991) Peripheral vasodilatation after spinal cord stimulation: Animal studies of putative effector mechanisms. Neurosurgery 28:187–195

    Article  PubMed  CAS  Google Scholar 

  7. Meglio M, Cioni B, Dal Lago A, et al. (1981) Pain control and improvement of peripheral blood flow following epidural spinal cord stimulation: case report. J Neurosurg 54:821–823

    Article  PubMed  CAS  Google Scholar 

  8. Melzack R, Wall P (1965) Pain mechanisms: A new theory. Science 150:971–979

    Article  PubMed  CAS  Google Scholar 

  9. Mullett KR, Rise MT, Shatin D (1992) Design and function of spinal cord stimulators -theoretical and developmental considerations. Pain Digest 1:281–287

    Google Scholar 

  10. Shealy C, Mortimer J, Hagfors N (1970) Dorsal column electroanalgesia. J Neurosurg 32:560–564

    Article  PubMed  CAS  Google Scholar 

  11. Struijk J, Holsheimer J, van Veen BK et al. (1991) Epidural spinal cord stimulation: Calculation of field potentials with special reference to dorsal column nerve fibers. IEEE Trans Biomed Eng 38:104–110

    Article  PubMed  CAS  Google Scholar 

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© 1994 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Mullett, K.R., Starkebaum, W. (1994). Spinal cord stimulator: Design and function. In: Horsch, S., Claeys, L. (eds) Spinal Cord Stimulation. Steinkopff. https://doi.org/10.1007/978-3-642-48441-4_6

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  • DOI: https://doi.org/10.1007/978-3-642-48441-4_6

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-48443-8

  • Online ISBN: 978-3-642-48441-4

  • eBook Packages: Springer Book Archive

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