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Physiologie und Pathophysiologie der neurodestruktiven Schmerztherapie

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Neurodestruktive Verfahren in der Schmerztherapie

Zusammenfassung

Noch beim Heidelberger Kongress der Deutschen Gesellschaft für Neurochirurgie 1975 [31] gehörte die neurodestruktive Schmerztherapie zum häufig und selbstverständlich eingesetzten Arsenal der Schmerztherapie — mangels Alternativen, die seither in großer Vielfalt in die Schmerztherapie eingeführt wurden. In Deutschland gab es damals weder eine medikamentöse Therapie chronischer Schmerzen noch eine Psycho- und Verhaltenstherapie; Nervenblockaden, Stimulationsverfahren und Akupunktur standen am Anfang ihrer Verbreitung. Bei dem Kongress wurden in 17 Plenarvorträgen die Ergebnisse neurodestruktiver Verfahren der Schmerzbekämpfung dargestellt, von vielen Varianten der Trigeminusoperation bis zur Hypophysektomie und stereotaktischen Großhirnoperationen, nur 5 Vorträge befassten sich mit der im Jahr zuvor in Deutschland eingeführten Rückenmarkstimulation. Die Erfolgsraten von Chordotomien und Thalamotomien lagen bei 90 bis 99% „schmerzfreien“ Patienten, wobei sich diese Bewertung meistens auf den Entlassungsbefund stützte. Über Misserfolge wurde kaum berichtet.

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Authors
  1. M. Zimmermann
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Editors and Affiliations

  1. Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Evangelisches Johannes-Krankenhaus, Schildescher Straße 99, 33611, Bielefeld, Germany

    Ulrich B. Hankemeier

  2. Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin Schwerpunkt Algesiologie, Universität Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany

    Jan Hildebrandt

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Zimmermann, M. (2002). Physiologie und Pathophysiologie der neurodestruktiven Schmerztherapie. In: Hankemeier, U.B., Hildebrandt, J. (eds) Neurodestruktive Verfahren in der Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59376-5_2

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  • DOI: https://doi.org/10.1007/978-3-642-59376-5_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41922-8

  • Online ISBN: 978-3-642-59376-5

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