Bilateral Open Thoracic Cordotomy for Refractory Cancer Pain: A Neglected Technique?

open anterior cordotomy as a possible technique for pain relief in cancer patient: an experience with seven cases

seven patients who had intractable pain of the pelvis and lower extremities were scheduled for cordotomy of the spinothalamic tracts after preliminary investigations. in three patients laminectomy was performed, to approach the anterior portion of the spinal cord, anil in the rest anterior cordotomy was performed with anterior disectomy under direct vision of the spinal cord. it appears that an...

Cordotomy for Thalamic Pain

Mr. E., a paper-hanger, married and father of one child, suffered a gonorrheal infection in 1919. In 1929, when he was 46 years of age, he was troubled one evening with a pain of moderate severity in his right hand and forearm. The following morning there was a continuous dull ache in this hand and forearm and at least every half hour a spasm of severe pain which would last for several minutes....

Percutaneous cervical cordotomy in cancer pain.

The aim of this study was to review all published articles in the literature in English regarding percutaneous cervical cordotomy in cancer pain. Percutaneous cordotomy may be used to relieve unilateral pain below the level of the neck arising from a variety of causes. It is particularly indicated for unilateral chest pain associated with malignant disease. We searched for reports on MEDLINE an...

Usefulness of Cordotomy in Patients With Cancer Who Experience Bilateral Pain: Implications of Increased Pain and New Pain

BACKGROUND Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE To assess the usefulness of cordotomy for bilateral pain from the viewpoint of increased pain or new pain caused by a referred pain mechanism. METHODS Twenty...

Results of Antero-lateral Cordotomy for Pain in Cancer.