Intracranial Neuroablation

  • Roy Hwang
  • Ashwin Viswanathan
  • Ahmed M. Raslan
  • Erich RichterEmail author


Although ablative surgical techniques are more commonly applied to the spine pain pathways for the treatment of cancer pain, there are indications for intracranial targets. Cingulotomy is used for widespread metastasis when there is a significant affective component in addition to pain. Hypophysectomy produces pain relief for widespread bone metastasis but may lead to hormonal dysfunction. Trigeminal nucleotractotomy improves pain in 80% of head and neck cancer at 6 months, with risk of ataxia and dysesthesia. Thalamotomy improves pain in more than half of patients and rarely causes permanent deficits.


Intracranial neuroablation Cingulotomy Hypophysectomy Thalamotomy Cancer pain Trigeminal nucleotomy Trigeminal tractotomy Trigeminal nucleotractotomy Stereotactic Lesion 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Roy Hwang
    • 1
  • Ashwin Viswanathan
    • 2
  • Ahmed M. Raslan
    • 3
    • 4
  • Erich Richter
    • 5
    Email author
  1. 1.West Virginia University, Department of NeurosurgeryMorgantownUSA
  2. 2.Baylor College of Medicine, Department of NeurosurgeryHoustonUSA
  3. 3.Oregon Health & Science University, Department of NeurosurgeryPortlandUSA
  4. 4.Portland VA Medical CenterNeurological SurgeryPortlandUSA
  5. 5.New Orleans Neurosurgical AssociatesMarreroUSA

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