Evidence map›Paper›PMID 40792126›Full record

ReviewFrontiers in pain research (Lausanne, Switzerland)2025

A comprehensive review of the supraspinal mechanisms of spinal cord stimulation on chronic pain and cognition.

Kelly E Gartner, Sofia Rustioni, Aamya Vohra, Mustafa Almosawi, Norah Hill, Travis Stewart, Nelleke C van Wouwe, Ajmal Zemmar

Abstract readReview
In one paragraph

Review in Frontiers in pain research (Lausanne, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

8 authors.

Kelly E Gartner *Department of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, United States.
Sofia Rustioni *University of Louisville, Louisville, KY, United States.
Aamya VohraUniversity of Louisville, Louisville, KY, United States.
Mustafa AlmosawiUniversity of Louisville School of Medicine, Louisville, KY, United States.
Norah HillUniversity of Louisville, Louisville, KY, United States.
Travis StewartDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, United States.
Nelleke C van WouweDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, United States.
Ajmal ZemmarDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain is one of the leading causes of disability worldwide. It can result in a significant reduction in quality of life and has been associated with decreased neurocognitive performance in attention, memory, and processing speed. Spinal cord stimulation (SCS) is a surgical treatment option for drug-refractory chronic pain. Although SCS can improve pain perception and related physical well-being, the mechanisms by which SCS improves pain perception and affects cognition remain largely unknown. Here, we review the cognitive impairments and neuroanatomical changes that can arise from chronic pain and how SCS treatment impacts these. This review identifies four key regions that may modulate attention, executive and emotional functioning, and memory with SCS: the amygdala, anterior cingulate cortex, thalamus, and somatosensory cortex. These observations suggest a role for SCS to influence and modulate the cognitive-emotional aspects of pain perception. Our review provides new insights to identify potential cortical areas that can serve as biomarkers or neuromodulation targets for SCS treatment. Recognizing the changes in activity within these supraspinal regions during SCS treatment may help individualize pain treatment and induce favorable cognitive shifts.

Indexed as

chronic paincognitive functiondrug-refractory painneuroanatomySCSsupraspinal effects

Identifiers

PMID40792126
PMCPMC12336175

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.