Limited myelotomy for the treatment of intractable cancer pain.
نویسندگان
چکیده
In midline myelotomy a small mechanical or radiofrequency lesion was made at the centre of the spinal cord at a single segment at the thoracolumbar junction or at C1. This procedure was used for the management of cancer pain in 20 patients, in four of whom it was combined with unilateral cordotomy. Of 14 patients with myelotomy alone at the thoracolumbar junction 10 (71.5%) had satisfactory relief of pain, with no complications or untoward side-effects.
منابع مشابه
Treatment of medically refractory cancer pain with a combination of intrathecal neuromodulation and neurosurgical ablation: case series and literature review.
OBJECTIVE Up to 90% of patients with advanced cancer experience intractable pain. For these patients, oral analgesics are the mainstay of therapy, often augmented with intrathecal drug delivery. Neurosurgical ablative procedures have become less commonly used, though their efficacy has been well-established. Unfortunately, little is known about the safety of ablation in the context of previous ...
متن کاملPercutaneous destructive pain procedures on the upper spinal cord and brain stem in cancer pain: CT-guided techniques, indications and results.
In the century of science and technology, the average life span has increased, bringing with it an increase in the incidence of degenerative and cancer disease. Intractable pain is usually the main symptom of cancer. With the advancement in technology, there is a large group of patients with intractable pain problems who can benefit from special help medically or surgically. Destructive pain pr...
متن کاملHigh cervical commissural myelotomy in the treatment of pain.
High cervical myelotomy was carried out on 10 patients. Commissurotomy was performed at the C1-3 level by a combined procedure of deep electrocogulation and sharp splitting of the posterior columns. The immediate results were excellent in all patients, but relapse of pain took place shortly in six of them; there was apparently no relation with the location of pain. No long-term favourable resul...
متن کاملEffectiveness and complications of 153Sm-EDTMP in palliative treatment of diffuse skeletal metastases
Introduction: The aim of the present study was to evaluate the efficacy and safety profile of bone palliative therapy following administration of 153Sm-EDTMP in patients with intractable metastatic bone pain. Methods: Sixteen patients (9 male, 7 female) aged 29-80 years (57.3±16.7 years) with severe metastasis-related bone pain resistant to analgesic medications were enrolled in the...
متن کاملTHE EFFECT OF PHENYTOIN ON HEALING OF WAR AND NON-WAR INTRACTABLE WOUNDS
Phenytoin (PHT), a drug in clinical use for over fifty years as an anticonvulsant, has heen reported to promote the healing of skin and soft tissue wounds, ulcers and second degree burns. We treated 19 patients with war-related missile wounds and 6 with chronic, non-healing (previously treated at least for.') months with antibiotics and betadine or acetic acid dressing) civilian ulcers wit...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of neurology, neurosurgery, and psychiatry
دوره 47 1 شماره
صفحات -
تاریخ انتشار 1984