Neurosurgical Targets for Chronic Pain - Jean-Philippe Langevin, MD - UCLA Neurosurgery

Explore neurosurgical targets for chronic pain management in this conference talk by Dr. Jean-Philippe Langevin at the UCLA Neurosurgery Update 2019. Delve into the neuromatrix theory of pain, body representation, and pain as a sensory-emotional-cognitive experience. Examine neuromodulation techniques including cortical stimulation, thalamic stimulation, and periventricular gray matter stimulation. Learn about surgical techniques, somatotopic organization, and neurophysiology of various brain regions involved in pain processing. Discover how diffusion tensor imaging (DTI) may improve surgical outcomes. Investigate the role of the dorsal anterior cingulate cortex in pain perception. Gain insights into emerging diagnostic and treatment modalities for chronic pain based on UCLA Neurosurgery's world-class expertise.

UCLA NEUROSURGERY UPDATE 2019
Content
Neuromatrix: Developing a theory of pain
Body Representation in Neuromatrix
Pain : Sensory-Emotional-Cognitive Experience
Using Neuromatrix in Neuromodulation
Cortical stimulation: Mechanism of Action
Opioid receptor availability reduction post-MCS
MCS and rTMS of the motor cortex
Stimulation Parameters
Sensory nucleus of the Thalamus
VPL/VPM surgical technique
VPL/VPM Somatotopic Organization
Periventricular Gray Surgical Technique
PVG Neurophysiology and Programming
Probabilistic tractography of PVG
Efficacy based on target selection
Surgical outcomes
DTI may help improve outcomes
Case study
Surgical planning
Dorsal Anterior Cingulate Cortex
Conclusion