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Dual-lead SCS for the treatment of poststroke pain and motor weakness

Research Project

Project/Area Number 15K10375
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionNihon University

Principal Investigator

YAMAMOTO Takamitsu  日本大学, 医学部, 客員教授 (50158284)

Co-Investigator(Kenkyū-buntansha) 深谷 親  日本大学, 医学部, 准教授 (50287637)
Research Collaborator SEKIGUCHI Shinichi  
MATSUDA Keiko  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords脊髄刺激 / 脳卒中後疼痛 / 運動麻痺 / ケタミン / ドラッグチャレンジテスト / 脳卒中後運動麻痺 / 脊髄刺激療法 / ドラッグチャレンジ テスト
Outline of Final Research Achievements

We have applied 5 Hz cervical SCS which induce muscle twitches of extremities in combination with conventional 20 Hz cervical SCS to induce paresthesia over the painful area in poststroke pain patients. The patients received 5 Hz cervical SCS to induce muscle twitches for five minutes in one session, and five sessions per day were carried out. In addition, patients underwent 20 Hz cervical SCS to induce paresthesia as much as they required. The %VAS score reduction 24 months after chronic SCS and the results of the ketamine test showed a significant correlation (r = 0.670, p = 0.001) by Pearson’s correlation coefficient test. In patients treated with a combination of cervical 5 Hz and 20 Hz SCS, the motor function of the upper extremities recovered remarkably.The combination of 5 Hz and 20 Hz SCS is a new neuromodulation and neurorehabilitation technique for poststroke pain with motor weakness.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (31 results)

All 2018 2017 2016 2015

All Journal Article (14 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 12 results,  Open Access: 1 results,  Acknowledgement Compliant: 6 results) Presentation (14 results) (of which Int'l Joint Research: 6 results,  Invited: 3 results) Book (3 results)

  • [Journal Article] Bipolar dual-lead spinal cord stimulation between two electrodes on the ventral and dorsal sides of the spinal cord: consideration of putative mechanisms2018

    • Author(s)
      Watanabe M, Yamamoto T, Fukaya C, Obuchi T, Kano T, Kobayashi K, Osjima H, Yoshino A
    • Journal Title

      Acta Neurochir (Wien)

      Volume: 160 Pages: 639-643

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Predictive Factors for Long-term Outcome of Subthalamic Nucleus Deep Brain Stimulation for Parkinson’s Disease2017

    • Author(s)
      Fukaya C, Watanabe M, Kobayashi K, Oshima H, Yoshino A, Yamamoto T
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 57 Issue: 4 Pages: 166-171

    • DOI

      10.2176/nmc.oa.2016-0114

    • NAID

      130006882498

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Spinal cord stimulation for vegetative state and minimally conscious state: Changes in consciousness level and motor function.2017

    • Author(s)
      Yamamoto T, Watanabe M, Obuchi T, Kobayashi k, Oshima H, Fukaya C, Yoshino A
    • Journal Title

      Acta Neurochir (Suppl)

      Volume: 124 Pages: 37-42

    • DOI

      10.1007/978-3-319-39546-3_6

    • ISBN
      9783319395456, 9783319395463
    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 脳外科医から見たMRI対応植込み型デバイスの現状と課題2017

    • Author(s)
      山本隆充
    • Journal Title

      インナービジョン

      Volume: 6 Pages: 34-37

    • Related Report
      2017 Annual Research Report
  • [Journal Article] MRI対応の脳脊髄刺激装置2017

    • Author(s)
      山本隆充
    • Journal Title

      ペインクリニック

      Volume: 38 Pages: 1493-1499

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Importance of pharmacological evaluation in the treatment of poststroke pain by spinal cord stimulation.2016

    • Author(s)
      Yamamoto T,Watanabe M, Obuchi T, Kano T, Kobayashi K, Oshima H, Fukaya C, Yoshino A
    • Journal Title

      Neuromodulation

      Volume: 19 Pages: 744-751

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Glioblastoma multiforme developed during chronic deep brain stmulation for Parkinson disease.2016

    • Author(s)
      Yamamoto T, Fukaya C, obuchi T, Watanabe m, Ohta T, Kobayashi K, Oshima H, Yoshino A
    • Journal Title

      Stereotact Funct Neurosurg

      Volume: 94 Pages: 320-325

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Pathophysiology and clinical management of pain in Parkinson's disease: Differences in efficacy of dopamine agonist and deep brain stimulation.2016

    • Author(s)
      Wupuer S, Yamamoto T,Fukaya C
    • Journal Title

      Pain research

      Volume: 31 Pages: 135-146

    • NAID

      130005430145

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Neuromodulationー皮質ー線条体ー視床ー皮質ループ障害とその治療ー2016

    • Author(s)
      深谷 親、山本隆充
    • Journal Title

      脳神経外科ジャーナル

      Volume: 25 Pages: 137-142

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Importance of pharmacological evaluation in the treatment of poststroke pain by spinal cord stimulation2016

    • Author(s)
      Yamamoto T, Watanabe M, Obuchi T, Kano T, Kobayashi K, Oshima H, Fukaya C, Yoshino A
    • Journal Title

      Neuromodulation

      Volume: 印刷中 Issue: 7 Pages: 744-751

    • DOI

      10.1111/ner.12408

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Deep Brain Stimulation for Parkinson’s Disease: Recent Trends and Future Direction2015

    • Author(s)
      Fukaya C, Yamamoto T
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 55 Issue: 5 Pages: 422-431

    • DOI

      10.2176/nmc.ra.2014-0446

    • NAID

      130005069868

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Application of diffusion tensor imaging tractography as a targeting modality for deep brain stimulation of the subthalamic nucleus2015

    • Author(s)
      Watanabe M, Sumi K, Obuchi T, Shijo K, Kano T, Kobayashi K, Oshima H, Fukaya C, Yoshino A, Kobayashi K, Yamamoto T, Katayama Y
    • Journal Title

      日大医学雑誌

      Volume: 74 Pages: 63-68

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 脳血管障害後神経障害性疼痛に対する頚髄後索刺激療法:下肢の痛みにも有効か?2015

    • Author(s)
      深谷 親、渡辺 充、角 光一郎、大渕敏樹、加納利和、小林一太、大島秀規、吉野篤緒、山本隆充
    • Journal Title

      Pain Research

      Volume: 31 Pages: 21-24

    • NAID

      130005145039

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 難治性疼痛に対する脊髄刺激療法2015

    • Author(s)
      山本隆充、深谷 親
    • Journal Title

      脳21

      Volume: 18 Pages: 28-32

    • Related Report
      2015 Research-status Report
  • [Presentation] 運動麻痺に対する脳脊髄刺激療法を用いたニューロリハビリテーション2017

    • Author(s)
      山本隆充、渡辺 充、大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、吉野篤 緒
    • Organizer
      第56回日本定位・機能神経外科学会
    • Place of Presentation
      大阪
    • Year and Date
      2017-01-27
    • Related Report
      2016 Research-status Report
  • [Presentation] Spinal cord stimulation for improvement of motor weakness2017

    • Author(s)
      Yamamoto T, Fukaya C, Watanabe M, Kobayashi K, Oshima H, Yoshino A
    • Organizer
      13th World Congress of Neuromodulation
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 運動麻痺に対する脳脊髄刺激療法を用いたニューロリハビリテーション2017

    • Author(s)
      山本隆充、渡辺 充、大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、吉野篤緒
    • Organizer
      第56回日本定位・機能神経外科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] ニューロモデユレーション技術を用いた機能神経外科2017

    • Author(s)
      山本隆充
    • Organizer
      日本生体医工学会専門別研究会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Drug challenge testに基づく脳脊髄刺激療法を用いた脳卒中後疼痛の治療2016

    • Author(s)
      山本隆充、渡辺 充、大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、吉野篤緒
    • Organizer
      第75回日本脳神経外科学会総会
    • Place of Presentation
      福岡
    • Year and Date
      2016-09-29
    • Related Report
      2016 Research-status Report
  • [Presentation] Spinal cord stimulation therapy for poststroke pain based on the results of pharmacological evaluation.2016

    • Author(s)
      Yamamoto T, Fukaya C,
    • Organizer
      16th World Congress on Pain
    • Place of Presentation
      Yokohama
    • Year and Date
      2016-09-26
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Cerebrospinal stimulation therapy for post-stroke pain based on the results of drug challenge test.2016

    • Author(s)
      Yamamoto T
    • Organizer
      1st interim conference of International Neuromodulation Socierty
    • Place of Presentation
      Chengdu, China
    • Year and Date
      2016-08-25
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 意識障害に対するニューロモデユレーション:遷延性意識障害に対する脳脊髄刺激療法2016

    • Author(s)
      山本隆充
    • Organizer
      第24回日本意識障害学会
    • Place of Presentation
      浜松
    • Year and Date
      2016-07-22
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Dual-lead spinal cord stimulation therapy for poststroke pain based on the results of drug challenge test2016

    • Author(s)
      Yamamoto T, Watanabe M, Kobayashi K, Fukaya C, Yoshino A
    • Organizer
      The 10th Scientific Meeting for the Asian Australasian Society of Stereotactic and Functional Neurosurgery
    • Place of Presentation
      オーストラリア、ケアンズ
    • Year and Date
      2016-03-03
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] (シンポジウム)難治性疼痛の治療戦略:難治性疼痛の薬理学的背景を考慮した脳脊髄刺激療法2016

    • Author(s)
      山本隆充, 渡辺 充、 大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、吉野篤緒
    • Organizer
      第55回日本定位・機能神経外科学会
    • Place of Presentation
      江陽グランドホテル(宮城県、仙台)
    • Year and Date
      2016-01-22
    • Related Report
      2015 Research-status Report
  • [Presentation] (シンポジウム)脳卒中後疼痛に対する脊髄刺激療法を用いた治療戦略2015

    • Author(s)
      山本隆充、渡辺 充、大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、吉野篤緒
    • Organizer
      第74回日本脳神経外科学会
    • Place of Presentation
      ロイトン札幌(北海道、札幌)
    • Year and Date
      2015-10-14
    • Related Report
      2015 Research-status Report
  • [Presentation] Spinal cord stimulation for post-stroke pain2015

    • Author(s)
      Yamamoto T, Fukaya C
    • Organizer
      VIIth WFNS Neurorehabilitation and Reconstructive Neurosurgery Symposium
    • Place of Presentation
      イタリア、ローマ
    • Year and Date
      2015-09-12
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Cerebrospinal stimulation therapy for VS and MCS2015

    • Author(s)
      Yamamoto T, Fukaya C
    • Organizer
      VIIth WFNS Neurorehabilitation and Reconstructive Neurosurgery Symposium
    • Place of Presentation
      イタリア、ローマ
    • Year and Date
      2015-09-12
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 合併する運動麻痺と振戦を考慮した脳卒中後疼痛に対する脳脊髄刺激療法2015

    • Author(s)
      山本隆充、渡辺 充、大渕敏樹、加納利和、小林一太、大島秀規、深谷 親、平山晃康
    • Organizer
      第37回日本疼痛学会
    • Place of Presentation
      熊本市民会館(熊本県熊本)
    • Year and Date
      2015-07-03
    • Related Report
      2015 Research-status Report
  • [Book] 難治性疼痛、Parkinson病、ジストニア、振戦、その他の不随意運動、EBMに基づく脳神経疾患の基本治療方針2016

    • Author(s)
      深谷 親、山本隆充
    • Publisher
      メデイカルビユー社
    • Related Report
      2016 Research-status Report
  • [Book] 定位・機能神経外科手術とモニタリング、脳神経外科手術のコンパス2016

    • Author(s)
      深谷 親、山本隆充
    • Publisher
      メデイカルビユー社
    • Related Report
      2016 Research-status Report
  • [Book] Deep brain stimulation for neurological disorders2015

    • Author(s)
      Yamamoto T, Fukaya C, Yoshino A, Katayama Y
    • Publisher
      Springer
    • Related Report
      2015 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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