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Motor cortex stimulation for neuropathic pain: From phenomenology to mechanisms
Abstract
Motor cortex stimulation (MCS) is relatively recent neurosurgical technique for pain control, the use of which is growing steadily since its description in the last decade. While clinical series show that at least 50% of patients with chronic, pharmacoresistant neuropathic pain may benefit from this technique, the mechanisms of action of MCS remain elusive. In this review, we synthesise a number of studies that, combining electrophysiology and functional imaging, have permitted to proceed from phenomenology to models that may account for part of such mechanisms. MCS appears to trigger rapid and phasic activation in the lateral thalamus, which leads to a cascade of events of longer time-course in medial thalamus, anterior cingulate/orbitofrontal cortices and periaqueductal grey matter. Activity in these latter structures is delayed relative to actual cortical neurostimulation and becomes maximal during the hours that follow MCS arrest. Current hypotheses suggest that MCS may act through at least two mechanisms: activation of perigenual cingulate and orbitofrontal areas may modulate the emotional appraisal of pain, rather than its intensity, while top down activation of brainstem PAG may lead to descending inhibition toward the spinal cord. Recent evidence also points to a possible secretion of endogenous opioids triggered by chronic MCS. This, along with the delayed and long-lasting activation of several brain structures, is consistent with the clinical effects of MCS, which m…
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“Several viral infections, including HIV [19], HCV [20], and HSV [21] increase activation of the KP, which interestingly is implicated in the neurological and cognitive impairments of patients with HIV, HCV, and HSV [21,22].”
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Items 101–200 of 224
Treatment of Poststroke Pain by Epidural Motor Cortex Stimulation With a New Octopolar Lead
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Self-citationThe Effect of Noninvasive Brain Stimulation to Reduce Nonspecific Low Back Pain
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“Results reveal activity changes in all neural structures involved in pain processing, such as the thalamus, anterior cingulate cortex (ACC), orbitofrontal cortex, insula, second somatosensory cortex (S2) or the periaqueductal grey matter (PAG) [35–38].”
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“Simultaneously, MCS inhibits pain impulses at the spinal cord level by activating the PAG [67].”
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“…present results in experimental animals with results in humans, it is important to note that supraspinal mechanisms influencing perception or the emotional appraisal of pain are likely to exert a key role in cortical stimulationinduced pain relief in human studies (Garcia-Larrea and Peyron 2007).”
ResultValero‐Cabré, A., Pascual‐Leone, Á., & Coubard, O. A. (2011) · Revue Neurologique · doi:10.1016/j.neurol.2010.10.013 · Cited by 46
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Self-citationFuture treatment strategies for neuropathic pain.
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“there are several techniques which have demonstrable analgesic affects, including transcutaneous electrical nerve stimulation (TENS), spinal cord stimulation, motor cortex stimulation (MCS) and deep brain stimulation (Cruccu et al. 2007; Garcia-Larrea and Peyron 2007).”
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BackgroundEffect of modulated TENS on corticospinal excitability in healthy subjects.
Jadidi, A. F., Stevenson, A. J. T., Zarei, A., Jensen, W., & Lontis, R. (2022) · Neuroscience · doi:10.1016/j.neuroscience.2022.01.004 · Cited by 18
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“More specifically, lateral thalamic modulation leads to inhibition of thalamic sensory neurons, cingulate modulation leads to decreased emotional appraisal of pain, and periaqueductal gray modulation leads to descending inhibition toward the spinal cord (Garcia-Larrea and Peyron, 2007).”
BackgroundMethodInfluentialNonpainful wide-area compression inhibits experimental pain
Honigman, L., Bar-Bachar, O., Yarnitsky, D., Sprecher, E., & Granovsky, Y. (2016) · Pain · doi:10.1097/j.pain.0000000000000604 · Cited by 18
“of limbic, cortical, and subcortical structures associated with inhibitory pain modulation.(20,43,54) Increase in M1 excitability was also reported in response to large-area non-noxious”
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Cingulate-mediated approaches to treating chronic pain
Peyron, R., Quesada, C., & Fauchon, C. (2019) · Handbook of clinical neurology · doi:10.1016/b978-0-444-64196-0.00017-0 · Cited by 26
Self-citationCue-elicited functional connectivity of the periaqueductal gray and tonic cocaine craving
Zhang, S., Zhornitsky, S., Wang, W., Dhingra, I., Le, T. M., & Li, C. R. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108240 · Cited by 16
“In the neurosurgical technique of motor cortical stimulation to control neuropathic pain, modulation of the vmPFC activity played a central role in topdown control of PAG activity and descending inhibition of the spinal cord (Garcia-Larrea and Peyron, 2007).”
BackgroundMalmierca, E., Chaves‐Coira, I., Rodrigo‐Angulo, M. L., & Angel, N. (2014) · Frontiers in Systems Neuroscience · doi:10.3389/fnsys.2014.00100 · Cited by 20
“However, the mechanisms of action remain elusive (Hardy, 1985; Garcia-Larrea and Peyron, 2007).”
BackgroundKlírová, M., Hejzlar, M., Kostýlková, L., Mohr, P., Rokyta, R., & Novák, T. (2020) · Frontiers in Systems Neuroscience · doi:10.3389/fnsys.2020.00027 · Cited by 15
“Also, several other mechanisms that function through various neural pathways have been implicated, including the pain descending inhibitory system, whose activation at the brain stem level may lead to the inhibition of nociceptive transmission in the dorsal horn (Garcia-Larrea and Peyron, 2007; Leung et al., 2009).”
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Imagerie fonctionnelle cérébrale appliquée à l’analyse des phénomènes douloureux
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Self-citationCampos, A. C., Berzuíno, M. B., Barbosa, G. R., Freire, H. M. R. C., Lopes, P. S. S., Assis, D. V., Fonoff, E., & Pagano, R. (2021) · Cells · doi:10.3390/cells10051158 · Cited by 14
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Cao, F.-L., Xu, M., Gong, K., Wang, Y., Wang, R., Chen, X., & Chen, J. (2019) · Journal of Pain · doi:10.1016/j.jpain.2018.11.014 · Cited by 13
Motor Threshold: A Possible Guide to Optimizing Stimulation Parameters for Motor Cortex Stimulation
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“…reduction after rTMS over the motor cortex in SCI patients is not associated with changes in cortical excitability, and descending inhibitory controls toward the spinal cord, triggering of endogenous opioid secretion, and improvement of cerebral blood flow were proposed mechanisms (13,18,52,53).”
Pre-motor versus motor cerebral cortex neuromodulation for chronic neuropathic pain
Lavrov, I. A., Latypov, T. H., Mukhametova, E., Lundstrom, B. N., Sandroni, P., Lee, K. H., Klassen, B. T., & Stead, M. (2021) · Scientific Reports · doi:10.1038/s41598-021-91872-2 · Cited by 18
Effectiveness of tonic and burst motor cortex stimulation in chronic neuropathic pain
Sokal, P., Harat, M., Malukiewicz, A., Kiec, M., Świtońska, M., & Jabłońska, R. (2019) · Journal of Pain Research · doi:10.2147/jpr.s195867 · Cited by 12
Duarte, D. G. G., Castelo-Branco, L. E. C., Uygur-Kucukseymen, E., & Fregni, F. (2018) · Expert Review of Medical Devices · doi:10.1080/17434440.2018.1551129 · Cited by 14
Fontaine, D., Bruneto, J. L., Fakir, H. E., Paquis, P., & Lanteri-Minet, M. (2009) · The Journal of Headache and Pain · doi:10.1007/s10194-009-0115-5 · Cited by 12
“MCS could have acted by favoring plasticity and reorganization of the sensory cortex, but functional imaging studies have failed to demonstrate any activation of the somato-sensory cortex during or after MCS [10].”
Kataria, M., Gupta, N., Kumar, A., Bhoriwal, S. K., Singh, A., Shekhar, V., & Bhatia, R. (2024) · Breast Cancer · doi:10.1007/s12282-024-01598-y · Cited by 11
“In this context, rTMS over M1 has exhibited a remarkable capacity to enhance cerebral blood flow, as substantiated by positron emission tomography (PET) studies [9].”
de Assis, E. D. B., de Carvalho, C. D., Martins, C., & Andrade, S. M. (2021) · Journal of Pain Research · doi:10.2147/jpr.s301447 · Cited by 15
The cornucopia of central disinhibition pain – An evaluation of past and novel concepts
Forstenpointner, J., Berry, D., Baron, R., & Borsook, D. (2020) · Neurobiology of Disease · doi:10.1016/j.nbd.2020.105041 · Cited by 14
“Second, brainstem activation may enhance top down control via descending inhibition of pain (Garcia-Larrea and Peyron, 2007).”
Background[Results of motor cortex stimulation in the treatment of chronic pain syndromes].
Isagulyan, E., Tomsky, A., Dekopov, A., Salova, E., Troshina, E., Dorokhov, E., & Shabalov, V. (2015) · Voprosy neirokhirurgii imeni N N Burdenko · doi:10.17116/neiro201579646-60 · Cited by 11
Barbosa, L. M., Valério, F., da Silva, V. D., Rodrigues, A. L. D. L., Galhardoni, R., Yeng, L. T., Rosi, J., Conforto, A., Lucato, L., Teixeira, M. J., et al. (2023) · Neurophysiologie clinique · doi:10.1016/j.neucli.2023.102845 · Cited by 10
“Organized reciprocal connections between the motor cortex and the sensory system, including the amygdala, medial thalamus, anterior cingulate, and sensory cortex, have been described [16,22], and brain network reorganization and maladaptive neural plasticity in different brain circuits, including the motor pathway, ar…”
BackgroundMorin, A., Léonard, G., Gougeon, V., Waddell, G., Bureau, Y.-A., Girard, I., & Morin, M. (2016) · Trials · doi:10.1186/s13063-016-1366-5 · Cited by 9
Kobaïter-Maarrawi, S., Maarrawi, J., Saade', N., Garcia-Larrea, L., & Magnin, M. (2018) · Pain · doi:10.1097/j.pain.0000000000001080 · Cited by 10
Self-citationLi, X., Lin, X., Yao, J., Chen, S., Hu, Y., Liu, J., & Jin, R. (2022) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2022.853509 · Cited by 9
“Neuroimaging studies provide evidence that motor cortex stimulation triggers activation in the ventral-lateral thalamus, leading to a cascade of events in medial thalamus, anterior cingulate/orbitofrontal cortices, and periaqueductal gray matter, in which regions constitute the endogenous pain inhibitory pathway (Garc…”
BackgroundChehade, H. D., Kobaïter-Maarrawi, S., Komboz, F., Farhat, J.-P., Magnin, M., García-Larrea, L., & Maarrawi, J. (2020) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13343 · Cited by 11
“Given the fact that restoration of thalamic activity—regardless of the analgesic procedure—is essential for relief of NP (30-33) this study aims to evaluate the effects of LF-IS and HF-IS on the extracellular unitary activity of two somatosensory and nociceptive thalamic nuclei; the VPL and the medial nucleus of the p…”
BackgroundSelf-citationKisler, L. B., Weissman-Fogel, I., Sinai, A., Sprecher, E., Chistyakov, A., Shamay-Tsoory, S., Moscovitz, N., & Granovsky, Y. (2017) · Behavioural Brain Research · doi:10.1016/j.bbr.2017.04.006 · Cited by 9
Role of Neuromodulation and Optogenetic Manipulation in Pain Treatment
Liu, S., Li, C., Xing, Y., Wang, Y.-Q., & Tao, F. (2016) · Current Neuropharmacology · doi:10.2174/1570159x14666160303110503 · Cited by 9
“Although the underlying mechanisms are not fully clear, it is indicated that MCS may produce the following effects: i) inhibiting nociceptive inputs in somatosensory areas through neural networks or connections between motor cortex and sensory cortex [40, 41]; ii) increasing cerebral blood flow in the related areas.”
Graph theory analysis reveals an assortative pain network vulnerable to attacks
Chen, C., Tassou, A., Morales, V., & Scherrer, G. (2023) · Scientific Reports · doi:10.1038/s41598-023-49458-7 · Cited by 9
“Motor cortex stimulation (MCS), primarily of the MOp, has been used clinically to treat neuropathic pain 75,76 .”
MethodCancer Pain and Non-Invasive Brain Stimulation—A Narrative Review
Chiriac, V.-F., Ciurescu, D., & Mosoiu, D. (2023) · Medicina · doi:10.3390/medicina59111957 · Cited by 8
Martel, M., Gaudreault, N., Pelletier, R., Houde, F., Harvey, M.-P., Giguère, C., Balg, F., & Léonard, G. (2023) · Brain Sciences · doi:10.3390/brainsci13081154 · Cited by 11
Supraspinal Mechanisms Underlying Ocular Pain
Pondelis, N. J., & Moulton, E. A. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2021.768649 · Cited by 5
Islam, J., Kc, E., Oh, B., Moon, H. C., & Park, Y. (2020) · Molecular Pain · doi:10.1177/1744806920943685 · Cited by 8
Medeiros, P., Negrini-Ferrari, S. E., Medeiros, A. C., Ferreira, L. L., da Silva, J. R. T., da Silva, J. D., Coimbra, N., & de Freitas, R. D. (2019) · World Journal of Neuroscience · doi:10.4236/wjns.2019.93009 · Cited by 8
“Since then, several studies have been done corroborating the pioneering results by Tsubokawa team [14] [15], although the neural bases of the analgesic mechanisms involved in that procedure have not been well established yet.”
BackgroundResultChaturvedi, R. (2020) · Indian Journal of Public Health Research & Development · doi:10.37506/ijphrd.v11i3.837 · Cited by 4
Morishita, T., Yamashita, A., Katayama, Y., Oshima, H., Nishizaki, Y., Shijo, K., Fukaya, C., & Yamamoto, T. (2011) · Neurologia medico-chirurgica · doi:10.2176/nmc.51.496 · Cited by 9
Raguž, M., Tarle, M., Hat, K., Salarić, I., Marčinković, P., Bičanić, I., Mosler, E. L., Lukšić, I., Marinović, T., & Chudy, D. (2025) · Life · doi:10.3390/life15091457 · Cited by 6
Soghoyan, G. A., Рамилевич, Б. А., Piliugin, N., Matvienko, Y., Kaplan, A., Sintsov, M., & Lebedev, M. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1466684 · Cited by 5
Nüssel, M., Hamperl, M., Maslarova, A., Chaudhry, S. R., Köhn, J., Stadlbauer, A., Buchfelder, M., & Kinfe, T. (2020) · Pain and Therapy · doi:10.1007/s40122-020-00221-0 · Cited by 6
Is the analgesic effect of motor cortex stimulation somatotopically driven or not?
Pommier, B., Quesada, C., Nuti, C., Peyron, R., & Vassal, F. (2020) · Neurophysiologie clinique · doi:10.1016/j.neucli.2020.04.002 · Cited by 6
Self-citationThalamocortical Abnormalities in Spinal Cord Injury Pain
Keller, A., & Al-Masri, R. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-398389-3.00006-6 · Cited by 6
Peyron, R. (2014) · Biologie Aujourd hui · doi:10.1051/jbio/2014003 · Cited by 8
Self-citationRadiansyah, R. S., & Hadi, D. W. (2023) · The Korean journal of pain · doi:10.3344/kjp.23220 · Cited by 13
“There are three primary processes that may contribute to the analgesic benefits of rTMS. Initially, rTMS might make the cerebral cortex more excitable, resulting in top-down stimulation and descending inhibition of the brainstem [75].”
Hsu, P.-S., Cheng, C.-M., Chao, H., Lin, M., Li, W., Lee, L., Liu, C., Chen, L., & Hsieh, J. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1179851 · Cited by 4
Assis, D. V., Campos, A. C., Paschoa, A. F. N., Santos, T. F., Fonoff, E., & Pagano, R. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24097796 · Cited by 5
Foglia, S., Rehsi, R. S., Turco, C. V., Shanthanna, H., & Nelson, A. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.893014 · Cited by 5
Kisler, L. B., Gurion, I., Granovsky, Y., Sinai, A., Sprecher, E., Shamay-Tsoory, S., & Weissman-Fogel, I. (2018) · PLoS ONE · doi:10.1371/journal.pone.0195739 · Cited by 5
‘Virtual lesion’ in pain research; a study on magnetic stimulation of the primary motor cortex
Granovsky, Y., Liem, K., Weissman-Fogel, I., Yarnitsky, D., Chistyakov, A., & Sinai, A. (2016) · European Journal of Pain · doi:10.1002/ejp.715 · Cited by 5
“This is consistent with reports on persisting neuronal activation in a distinct set of motor cortical areas beyond the time of M1-TMS (Siebner et al., 2000) and on a delayed analgesic effect relative to the actual period of motor cortex stimulation (Garc ıa-Larrea and Peyron, 2007).”
BackgroundResultInfluentialChang, S. J., Ranjan, M., Slotty, P., & Honey, C. (2015) · Stereotactic and Functional Neurosurgery · doi:10.1159/000369355 · Cited by 5
Transkranielle Magnetstimulation und Motorkortexstimulation bei neuropathischen Schmerzen
Mylius, V., Ayache, S., Teepker, M., Kappus, C., Kolodziej, M., Rosenow, F., Nimsky, C., Oertel, W. H., & Lefaucheur, J. (2012) · Der Schmerz · doi:10.1007/s00482-012-1243-4 · Cited by 5
Pain and Paresthesia in Parkinson's Disease
Lim, S., & Evans, A. H. (2011) · Parkinson s Disease · doi:10.1002/9781444397970.ch29 · Cited by 5
Cortical neuromodulation for neuropathic pain and Parkinson disease: Where are we?
Lavano, A., Guzzi, G., & Chirchiglia, D. (2018) · Neurologia i Neurochirurgia Polska · doi:10.1016/j.pjnns.2017.11.001 · Cited by 5
Seznec, Y., Thomas, J., Baptiste, P. J., Buhot, B. A., Convers, P., Peyron, R., & Vassal, F. (2025) · European Journal of Pain · doi:10.1002/ejp.4778 · Cited by 4
“Bottom-up activation of the medial thalamus–anterior cingulate cortex circuit may modulate the emotional appraisal of pain, while top-down activation of the periaqueductal grey matter may lead to descending inhibition of pain transmission toward the spinal cord (García-Larrea and Peyron 2007).”
Self-citationLenz, F. A., Casey, K. L., Jones, E. G., & Willis, W. D. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511770579 · Cited by 51
Fongsaran, C., Dineley, K. T., Paessler, S., & Cisneros, I. E. (2024) · Pathogens · doi:10.3390/pathogens13050397 · Cited by 3
Motor Cortex Stimulation for Refractory Trigeminal Pain: A Case Series from Atlantic Canada
Saucier, J., Boone, L., Elsliger, S., & Helou, A. E. (2025) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/cjn.2025.10091 · Cited by 3
Does transcranial direct current stimulation enhance the hypoalgesic effect of exercise?
Lewis, A., Rattray, B., Toufexis, C., & Flood, A. (2024) · Sports Medicine and Health Science · doi:10.1016/j.smhs.2024.12.002 · Cited by 3
“14 This change in excitability, when targeted at the motor cortex, 15 has been shown to activate descending pain modulatory pathways and induce hypoalgesic effects.”
Muñiz-Pardos, B., Subías-Perié, J., Geda, E., Molino, L., Casajús, J., & Pitsiladis, Y. (2024) · Translational Exercise Biomedicine · doi:10.1515/teb-2024-2008 · Cited by 2
“…analgesic e ff ect of electrical stimulation remains to be determined, previous evidence suggests that the stimulation of speci fi c areas of the brain triggers the modulation of activity in speci fi c pain-related regions such as the medial thalamus, the insula and the anterior cingulate gyrus [8].”
The influence of trait anxiety and illusory kinesthesia on pain threshold
Imai, R., Osumi, M., Ishigaki, T., & Morioka, S. (2017) · Journal of Physical Therapy Science · doi:10.1589/jpts.29.1236 · Cited by 2
Stratégies d'évaluation des douleurs neuropathiques
Attal, N., & Bouhassira, D. (2010) · Encyclopédie médico-chirurgicale. Neurologie · doi:10.1016/s0246-0378(10)52771-4 · Cited by 2
Bases anatomo-physiologiques de la chirurgie de la douleur
Marchand, S. (2014) · Springer eBooks · doi:10.1007/978-2-8178-0509-2_2 · Cited by 2
Deep Brain and Motor Cortex Stimulation for Head and Face Pain
Lempka, S., & Machado, A. (2014) · doi:10.1007/978-1-4614-8951-1_20 · Cited by 2
“Activation of the perigenual ACC and orbitofrontal cortex suggests that pain relief from MCS may, in part, be attributed to the emotional aspect of pain rather than its actual intensity [ 79 ].”
BackgroundHistory of Stereotactic Surgery in France
Benabid, A., Chabardès, S., & Seigneuret, É. (2009) · doi:10.1007/978-3-540-69960-6_9 · Cited by 2
Raguž, M., Tarle, M., Marčinković, P., Krušić, S., Dlaka, D., Marinović, T., & Chudy, D. (2026) · Life · doi:10.3390/life16040651 · Cited by 1
“Understanding long-term pain trajectories, stimulation dependency, and adaptive pro-https://doi.org/10.3390/life16040651 gramming strategies is, therefore, essential for realistic patient counseling and treatment planning within contemporary mechanism-informed chronic pain care models [11,21].”
Influentialde Carvalho, C. D., dos Santos, G. A., Lima, R. L. D. S., dos Santos, M. L., Bezerra, B. G. N., de Araújo, D. L. F., da Silva, F. M., de Oliveira, V. A. D., & Kamonseki, D. H. (2026) · Physiotherapy Practice and Research · doi:10.1177/22130683251411184 · Cited by 1
“13,14 15 – 18 Systematic reviews 19,20 suggest that tDCS may bene fi t patients with neuropathic pain, although they present results with low level of evidence and substantial heterogeneity 19,20 related to aspects of pain, anxiety, and depression.”
Trends and hotspots in burns-related pain research: A bibliometric analysis.
Gao, X.-X., Zhang, X.-H., & Yu, J.-A. (2024) · Burns · doi:10.1016/j.burns.2024.107345 · Cited by 1
Padilla-Lichtenberger, F., Casto, F., Garavaglia, F., Villaescusa, M., & Ciraolo, C. A. (2023) · Revista de la Facultad de Ciencias Médicas · doi:10.31053/1853.0605.v80.n3.41142 · Cited by 1
Direct Impact of Motor Cortical Stimulation on the Blood Oxygen-level Dependent Response in Rats
Xin, Z., Abe, Y., Liu, S., Tanaka, K., Hosomi, K., Saitoh, Y., & Sekino, M. (2020) · Magnetic Resonance in Medical Sciences · doi:10.2463/mrms.mp.2019-0156 · Cited by 1
Neuromodulation for end of life symptoms
Taplin, A. M., Campbell, J. C., Smith, H. S., Parmar, V. K., & Pilitsis, J. G. (2016) · doi:10.21037/phe.2016.06.09 · Cited by 1
“The basis of MCS is now focused on fMRI based corticothalamic connections that increase thalamic blood flow and subsequent PAG opioid production (51-55).”
BackgroundExiste-t-il une matrice de la douleur neuropathique ?
Peyron, R. (2014) · Douleur et Analgésie · doi:10.1007/s11724-014-0376-x · Cited by 1
Self-citationMotor Cortex Stimulation in Refractory Pain
Broggi, G., Messina, G., Cordella, R., & Franzini, A. (2013) · doi:10.1002/9781118346396.ch17 · Cited by 1
Csifcsák, G. (2011) · SZTE Repository of Dissertations (University of Szeged) · doi:10.14232/phd.1213
O18 Douleurs neuropathiques centrales post AVC
Laurent, B., Peyron, R., & Larrea, L. G. (2007) · doi:10.1016/s1624-5687(07)73114-1 · Cited by 1
Self-citationrTMS in the Treatment of Neuropathic Pain
Lefaucheur, J. (2016) · Springer eBooks · doi:10.1007/978-3-319-25721-1_10 · Cited by 1
Metadata
- Authors
- Garcia-Larrea, L., & Peyron, R.
- Affiliations
- Inserm (FR)
- ORCID
- Peyron, Roland
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2007
- Volume
- 37
- Pages
- S71-S79
- ISSN
- 1053-8119 (ISSN-L)
- OpenAlex
- W2029045410
- Cited by
- 259
- References
- 75
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 12 · 2023: 13 · 2022: 15 · 2021: 20 · 2020: 14 · 2019: 18 · 2018: 11 · 2017: 11 · 2016: 17 · 2015: 21 · 2014: 16 · 2013: 13 · 2012: 15
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fondation pour la Recherche Médicale
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- motor cortex stimulation, neuropathic pain, chronic pain, mechanism of action, lateral thalamus, medial thalamus, periaqueductal gray, anterior cingulate cortex, orbitofrontal cortex, descending pain inhibition, endogenous opioids, pain management
- MeSH terms
- Animals, Cerebrovascular Circulation, Chronic Disease, Endorphins, Humans, Magnetic Resonance Imaging, Motor Cortex, Pain, Peripheral Nervous System Diseases, Neurosurgical Procedures, Positron-Emission Tomography, Pain Management
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