Modern aspects of surgical neuromodulation

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The review focuses on modern application of surgical neuromodulation method for different diseases and pathological conditions. The method, initially designed and applied for deep brain stimulation, is now widely used in many fields of clinical medicine, and the effect is exerted not only by electrical stimuli. The main criterion to classify method as a variant of neuromodulation is the presence of implantable device, which allows minimizing the action of electric, magnetic, ultrasound impulses or pharmacological compounds, with a decrease in the incidence of adverse effects and the precision of modulation parameters. International experience of neuromodulation in the treatment of extrapyramidal hyperkinesias, drug-resistant epilepsy and drug-resistant pain syndromes of different origin is analyzed, and that results are compared with the data obtained by the neurosurgical team from Research Center of Neurology. Several unique authors’ inventions allowed improving the precision of electrode positioning for deep brain stimulation (microelectrode registration) and for chronic epidural stimulation in spastic syndromes.

About the authors

Artyom O. Gushcha

Research Center of Neurology

Author for correspondence.
Russian Federation, Moscow

Vladimir M. Tyurnikov

Research Center of Neurology

Russian Federation, Moscow

Aleksey A. Kashcheev

Research Center of Neurology

Russian Federation, Moscow


  1. Kandel’ E.I. Funktsional’naya i stereotaksicheskaya neyrokhirurgiya. [Functional and stereotactic neurosurgery] Moscow: Meditsina, 1981. 368 s. (In Russ.)
  2. Louw D.F., Burchiel K.J. Ablative therapy for movement disorders. Complications in the treatment of movement disorders. Neurosurg Clin N Am 1998; 9(2): 367–373. PMID: 9495898.
  3. Tyurnikov V.M. Katamnez kombinirovannogo (medikamentoznogo i khirurgicheskogo) lecheniya bol’nykh parkinsonizmom. Diss. kand. med. nauk. [Follow-up study of the combined (medicamental and surgical) treatment of patients with parkinsonism. PhD med. sci. diss.] Moscow, 1998. (In Russ.)
  4. Levin O.S., Fedorova N.V. Bolezn’ Parkinsona. [Parkinson’s disease] Moscow: MEDpress-inform, 2014. 384 p. (In Russ.)
  5. Golubev V.L., Levin YA.I., Veyn A.M. Bolezn’ Parkinsona i sindrom parkinsonizma. [Parkinson disease and Parkinson syndrome] Moscow: MEDpress-inform, 1999. 416 p. (In Russ.)
  6. Shtok V.N., Ivanova-Smolenskaya I.A., Levin O.S. (red.). Ekstrapiramidnyye rasstroystva. Rukovodstvo po diagnostike i lecheniyu. [Extrapyramidal disorders. Guidelines for diagnosis and treatment] Moscow: MEDpress-inform, 2002. 608 p. (In Russ.)
  7. Shabalov V.A., Tomskiy A.A., Bril’ E.V., Fedorova N.V. [Electrostimulation of the subtalamic nucleus in Parkinson disease]. Zhurnal voprosy neyrokhirurgii im. N.N. Burdenko 2006; 3: 14–17. (In Russ.)
  8. Bain P., Aziz T., Liu X., Nandi D. Deep brain stimulation. Oxford: Oxford University Press, 2009. 228 p.
  9. Piradov M.A., Illarioshkin S.N., Gushcha A.O et al. [Modern technologies of neuromodulation]. In book: [Neurology of the XXI century: diagnostic, therapeutic and research
  10. technologies. A guide for doctors]. Мoscow: АТМО, 2015. 2: 46–98. (In Russ.)
  11. Dams J., Balzer-Geldsetzer M., Siebert U. et al. Cost-effectiveness of neurostimulation in Parkinson’s disease with early motor complications. Mov Disord 2016; 31: 1183–1191. doi: 10.1002/mds.26740. PMID: 27506638.
  12. Schüpbach W.M., Rau J., Houeto J.L. et al. Myths and facts about the EARLYSTIM study. Mov Disord 2014; 29: 1742–1750. doi: 10.1002/mds.26080. PMID: 25399678.
  13. Vingerhoets F.J., Burkhard P.R., Du Pasquier R., Pollak P. Deep brain stimulation and “translational revolution”: the central role of clinicians. Rev Med Suisse 2015; 11(472): 955–956. PMID: 26062219.
  14. Lozano A.M., Snyder B.J., Hamani C. et al. Basal ganglia physiology and deep brain stimulation. Mov Disord 2010; 25 (Suppl 1): S71–75. doi: 10.1002/mds.22714. PMID: 20187251.
  15. Lenz F.A., Dostrovsky J.O., Kwan H.C. et al. Methods for microstimulation and recording of single neurons and evoked potentials in the human central nervous system. J Neurosurg 1988; 68: 630–634. doi: 10.3171/jns.1988.68.4.0630. PMID: 3351591.
  16. Brittain J.S., Cagnan H. Recent trends in the use of electrical neuromodulation in Parkinson’s disease. Curr Behav Neurosci Rep 2018; 5(2): 170–178. doi: 10.1007/s40473-018-0154-9. PMID: 29862163.
  17. Tarsy D., Vitek J.L., Starr P.A., Okun M.S. (eds.) Deep brain stimulation in neurological and psychiatric disorders. Totowa: Humana Press, 2008. 601 р.
  18. Suarez-Cedeno G., Suescun J., Schiess M.C. Earlier intervention with deep brain stimulation for Parkinson’s disease. Parkinsons Dis 2017; 2017: 9358153. doi: 10.1155/2017/9358153. PMID: 28951797.
  19. Tyurnikov V.M., Fedotova E.YU., Gushcha A.O., Illarioshkin S.N. [Surgical
  20. treatment of essential tremor: chronic electrostimulation of the brain with bilateral implantation of electrodes into the ventral intermediate thalamic nucleus]. Nervnyye bolezni 2013; 3: 22–28. (In Russ.)
  21. Brodie M.J. Road to refractory epilepsy: the Glasgow story. Epilepsia 2013; 54 (Suppl 2): 5–8. doi: 10.1111/epi.12175. PMID: 23646962.
  22. Roosevelt R.W., Smith D.C., Clough R.W. et al. Increased extracellular concentrations of norepinephrine in cortex and hippocampus following vagus nerve stimulation in the rat. Brain Res 2006; 1119(1): 124-132. doi: 10.1016/j.brainres. 2006.08.048. PMID: 16962076.
  23. Elliott R.E., Morsi A., Kalhorn S.P. et al. Vagus nerve stimulation in 436 consecutive patients with treatment-resistant epilepsy: long-term outcomes and predictors of response. Epilepsy Behav 2011; 20(1): 57-63. doi: 10.1016/j.yebeh. 2010.10.017. PMID: 21144802.
  24. Sitnikov A.R. [Stereotactic destruction and chronic stimulation of the anterior thalamic nuclei for the treatment of pharmacoresistant epilepsy]. Vestnik Smolenskoy Gosudarstvennoy Meditsinskoy Akademii 2017; 16(1): 135–143. (In Russ.)
  25. Melzack R., Wall P.D. Pain mechanisms: a new theory. Science 1965; 150:971–979. PMID: 5320816.
  26. Taylor R.S., Van Buyten J.P., Buchser E. Spinal cord stimulation forchronic back and leg pain and failed back surgery syndrome: A systematic review and analysis of prognostic factors. Spine 2005; 30: 152–160. PMID: 15626996.
  27. North R.B., Kidd D.H., Farrokhi F., Piantadosi S.A. Spinal cord stimulation versus repeated lumbosacral spine surgery for chronic pain: a randomized controlled trial in patients with failed back surgery syndrome. Pain 2007; 132: 179–188.

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Copyright (c) 2018 Gushcha A.O., Tyurnikov V.M., Kashcheev A.A.

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