Percutaneous cervical cordotomy for the control of pain in patients with pleural mesothelioma

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Percutaneous cervical cordotomy for the control of pain in patients with pleural mesothelioma.

BACKGROUND Severe chest pain is common in mesothelioma. Percutaneous cervical cordotomy, which interrupts the spinothalamic tract at the C1/C2 level causing contralateral loss of pain sensation, is particularly appropriate in mesothelioma as the tumour is unilateral and systemic analgesia may be ineffective and is limited by harmful side effects. METHOD A retrospective review was performed to...

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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...

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Cordotomy in mesothelioma-related pain: a systematic review.

BACKGROUND Cordotomy can be effective in relieving pain for patients with mesothelioma, but the evidence to support continued provision is limited. This review forms part of the Invasive Neurodestructive Procedures in Cancer Pain pilot study: The role of cordotomy in mesothelioma-related pain in the UK. AIM/DESIGN We report on the results of the first comprehensive systematic review of the us...

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CT-Guided High-Level Percutaneous Cervical Cordotomy for Intractable Cancer Pain.

AIM To evaluate the safety and effectiveness of computed tomography-guided high-level percutaneous selective cervical cordotomy (CT-guided HPSCC). MATERIAL AND METHODS CT-guided percutaneous procedures were performed in fifty-nine patients between the years 2004- 2013 for cancer pain. Forty-eight patients with cancer-related body pain were treated with CT-guided HPSCC was evaluated retrospect...

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Percutaneous electrical cordotomy in the relief of intractable pain.

Carcinoma of Bronchus-Garnett et al. MEDICALIJSUHNAL the explanation for the absent lobar perfusion in the other four patients in group 1. However, it is also possible that the bronchial tumour was producing obstructive emphysema, in which case it is postulated that the intra-alveolar pressure may then have been sufficient to prevent the radioactively labelled microemboli from entering the emph...

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ژورنال

عنوان ژورنال: Thorax

سال: 1999

ISSN: 0040-6376

DOI: 10.1136/thx.54.3.238