Results of antero-lateral cordotomy for pain in cancer

Results of Antero-lateral Cordotomy for Pain in Cancer.

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...

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....

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...

Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer.

Palliative cervical cordotomy can be performed via percutaneous radiofrequency ablation of the lateral C1-2 spinothalamic tract. This rare procedure can be safe, effective, and advantageous in mitigating medically intractable unilateral extremity pain for selected patients with end-stage cancer. This report reviews the indications, techniques, risks, and potential benefits of cordotomy. We desc...