Evidence map›Paper›PMID 38668642›Full record

ArticleAnnals of clinical and translational neurology2024

Somatotopy of the sensory thalamus: inputs from directional deep brain stimulation in pain patients.

Aurelie Leplus, Petru Isan, Anne Balossier, Sarah Mouffok, Anne Donnet, Theodore Papadopoulo, Michel Lanteri-Minet, Jean Regis, Denys Fontaine

Registry-linked trialAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03399942 (Treatment of Chronic Refractory Pain by Combined Deep Brain Stimulation of the Anterior Cingulum and Sensory Thalamus), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03399942 nacompletednot on this map

Treatment of Chronic Refractory Pain by Combined Deep Brain Stimulation of the Anterior Cingulum and Sensory Thalamus: a Feasibility and Safety Study

TypeinterventionalSponsorCentre Hospitalier Universitaire de NiceRan2018 to 2024Enrolled8ConditionsChronic Refractory Neuropathic PainArmsDeep brain Stimulation of cingulum anterior
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Somatotopic organization of the Thalamus: a rare case of isolated facial sensory change.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Aurelie LeplusDepartment of Neurosurgery, FHU INOVPAIN, CHU de Nice, Université Côte d'Azur, Nice, France.ORCID 0009-0008-5492-327X
Petru IsanDepartment of Neurosurgery, FHU INOVPAIN, CHU de Nice, Université Côte d'Azur, Nice, France.
Anne BalossierDepartment of Neurosurgery, Hopital La Timone, APHM, FHU INOVPAIN, Marseille, France.
Sarah MouffokINRIA Center, Université Cote d'Azur, Sophia Antipolis, France.
Anne DonnetPain Clinic, Hopital La Timone, APHM, Marseille, France.
Theodore PapadopouloINRIA Center, Université Cote d'Azur, Sophia Antipolis, France.
Michel Lanteri-MinetUR2CA, Université Côte d'Azur, Nice, France.
Jean RegisDepartment of Neurosurgery, Hopital La Timone, APHM, FHU INOVPAIN, Marseille, France.
Denys FontaineDepartment of Neurosurgery, FHU INOVPAIN, CHU de Nice, Université Côte d'Azur, Nice, France.ORCID 0000-0001-5012-6769

Funding

Abbott Laboratories 16-AOIP-01
6 · The paper itself

Abstract

objectiveThe sensory ventroposterior (VP) thalamic nuclei display a mediolateral somatotopic organization (respectively head, arm, and leg). We studied this somatotopy using directional VP deep brain stimulation (DBS) in patients treated for chronic neuropathic pain.

methodsSix patients with central (four) or peripheral (two) neuropathic pain were treated by VP DBS using directional leads in a prospective study (clinicaltrials.gov NCT03399942). Lead-DBS toolbox was used for leads localization, visualization, and modeling of the volume of tissue activated (VTA). Stimulation was delivered in each direction, 1 month after surgery and correlated to the location of stimulation-induced paresthesias. The somatotopy was modeled by correlating the respective locations of paresthesias and VTAs. We recorded 48 distinct paresthesia maps corresponding to 48 VTAs (including 36 related to directional stimulation).

resultsWe observed that, in each patient, respective body representations of the trunk, upper limb, lower limb, and head were closely located around the lead. These representations differed across patients, did not follow a common organization and were not concordant with the previously described somatotopic organization of the sensory thalamus.

interpretationThalamic reorganization has been reported in chronic pain patients compared to non-pain patients operated for movement disorders in previous studies using intraoperative recordings and micro-stimulation. Using a different methodology, namely 3D representation of the VTA by the directional postoperative stimulation through a stationary electrode, our study brings additional arguments in favor of a reorganization of the VP thalamic somatotopy in patients suffering from chronic neuropathic pain of central or peripheral origin.

Indexed as

Deep Brain StimulationNeuralgiaAdultAgedBrain MappingChronic PainFemaleHumansMaleMiddle AgedProspective StudiesThalamus

Identifiers

PMID38668642
PMCPMC11187955

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Registered trials

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