History of Neurostimulation

Published on 24/02/2015 by admin

Filed under Anesthesiology

Last modified 24/02/2015

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Chapter 1 History of Neurostimulation

Chapter Overview

Chapter Synopsis: The history of neurostimulation for pain relief reaches back nearly 2000 years to Greece. As with many ancient remedies, healers made use of the natural physiology of an animal—in this case the electrical discharge from a torpedo fish. Since then electrical stimulation devices have come a long way, as has our understanding of the underlying mechanisms. History shows that physicians in Europe and the United States shepherded this development through the 18th and 19th centuries. Even Ben Franklin made a well intended although ill-fated foray into medical research with electrostimulation. The popularity of neurostimulation in the early 20th century seemed to reach its culmination with the advent of a colorfully named and widely used device called the Electreat, an early version of today’s more sophisticated transcutaneous electrical nerve stimulation (TENS) devices. With the establishment of Melzack and Wall’s gate control theory of pain in the 1960s, clinical neurostimulation underwent a more informed evolution. Norman Shealy’s contributions led to both scientific and technological advances. Eventually experiments revealed the efficacy of deep brain stimulation for relief of central pain and other conditions. Although an ancient practice, the benefits of neurostimulation have likely not yet been entirely revealed or appreciated.

Important Points:

image Ballard D. Wright13 described the use of the block-aid monitor in 1969 for nerve stimulation.
image In 1991 Tsubokawa10 made key advances in motor cortex stimulation for central pain control.