Evidence map›Paper›PMID 38864037›Full record

ReviewCureus2024

Exploring the Thalamus as a Target for Neuropathic Pain Management: An Integrative Review.

Mariana P Pires, Billy McBenedict, Issra E Ahmed, Ryan Chun Chien Yau, Yan Bin Fong, Kang Suen Goh, Yee Siew Lim, Suber Abdi Mohamed, Owen Ngu, Jeshua N Devan and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

12 authors.

Mariana P PiresNeurosurgery, Fluminense Federal University, Niterói, BRA.
Billy McBenedictNeurosurgery, Fluminense Federal University, Niterói, BRA.
Issra E AhmedSurgery, National Ribat University, Khartoum, SDN.
Ryan Chun Chien YauInternal Medicine, Monash University Malaysia, Subang Jaya, MYS.
Yan Bin FongSurgery, Universiti Putra Malaysia, Serdang, MYS.
Kang Suen GohInternal Medicine, Monash University Malaysia, Subang Jaya, MYS.
Yee Siew LimSurgery, International Medical University, Seremban, MYS.
Suber Abdi MohamedMedicine, Jiangsu University, Zhenjiang Jiangbin Hospital, Zhenjiang, CHN.
Owen NguMedicine, University of Malaya, Kuala Lumpur, MYS.
Jeshua N DevanSurgery, Asian Institute of Medicine, Science and Technology University, Bedong, MYS.
Wilhelmina N HauwangaFamily Medicine, Faculty of Medicine, Federal University of the State of Rio de Janeiro, Rio de Janeiro, BRA.
Bruno Lima PessôaNeurosurgery, Fluminense Federal University, Niterói, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuropathic pain (NP), resulting from damage to the somatosensory system, is characterized by either spontaneous or evoked pain. In the context of NP, wherein aberrant signaling pathways contribute to the perception of pain, the thalamus emerges as a key player. This structure is integral to the pain network that includes connections to the dorsal horn of the spinal cord, highlighting its role in the affective-motivational aspects of pain perception. Given its significant involvement, the thalamus is targeted in advanced treatments such as thalamotomy and deep brain stimulation (DBS) when traditional therapies fail, emphasizing the need to understand its function in NP to improve management strategies. This review aimed to provide an overview of the role of the thalamus in the transmission of nociceptive information in NP by discussing the existing evidence, including the effectiveness and safety of current techniques in the management and treatment of NP. This is an integrative review involving the qualitative analysis of scientific articles published in PubMed/MEDLINE, Embase, Scopus, and Web of Science. A total of 687 articles were identified, and after selection, 15 articles were included in this study. All studies reviewed demonstrated varying degrees of effectiveness of DBS and thalamotomy in alleviating painful symptoms, although the relief was often temporary. Many studies noted a reduction in pain perception at the conclusion of treatment compared to pre-treatment levels, with this decrease maintained throughout patient follow-ups. However, adverse events associated with these treatments were also reported. In conclusion, there are some benefits, albeit temporary, to using thalamotomy and DBS to alleviate the painful symptoms of NP. Both procedures are considered advanced forms of surgical intervention that aim to modulate pain pathways in the brain, providing significant relief for patients suffering from chronic pain resistant to conventional treatment. Despite limitations, these surgical interventions offer renewed hope for patients facing disabling chronic pain and can provide a significant improvement in quality of life.

Indexed as

dbsneuropathic painpain networkthalamotomythalamus

Identifiers

PMID38864037
PMCPMC11165437

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.