Abstract
Anterolateral spinal cordotomy can relieve certain kinds of pain, but its usefulness is severely limited by difficulty in performing the procedure, unreliability in relieving pain, and complications, which may be fatal. Because of these, which include postcordotomy dysesthesias, the procedure is limited to patients with terminal cancer. Even here, however, cordotomy should be reserved for those with intractable cancer pain that does not respond to intrathecal morphine or deep brain stimulation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rosomoff HL: Percutaneous spinothalamic cordotomy. In: Neurosurgery, Wilkins RH, Rengachary SS, eds, McGraw-Hill, New York, 1985, pp 2446–2451.
Tasker RR: Percutaneous cordotomy — the lateral high cervical technique. In: Operative Neurosurgical Techniques, Vol 2, Schmidek HH, Sweet WH, eds. Grune & Stratton, New York, 1982, pp 1137–1153.
Poletti CE: Open cordotomy — new techniques. In: Operative Neurosurgical Techniques, Vol 2 Schmidek HH, Sweet WH, eds. Grune & Stratton, New York, 1982, pp 1119–1136.
Ehni BL, Ehni G: Open surgical cordotomy. In: Neurosurgery, Wilkins RH, Rengachary SS, eds. McGraw-Hill, New York, 1985, pp 2439–2445.
Rosomoff HL, Carroll F, Brown J, Sheptak P: Percutaneous radiofrequency cervical cordotomy: Technique. J Neurosurg 23:639–644, 1965.
Mullan S: Percutaneous cordotomy. J Neurosurg 35:360–366, 1971.
Taren JA, Davis R, Crosby EC: Target physiologic corroboration in stereotaxic cervical cordotomy. J Neurosurg 30:569–584, 1969.
Lema JA, Hitchcock E: Respiratory changes after stereotactic high cervical cord lesions for pain. Appl Neurophysiol 49:62–68, 1986.
Sweet WH: Recent observations pertinent to improving anterolateral cordotomy Clin. Neurosurg 23:80–95, 1976.
Lin PM, Gildenberg PL, Polakoff PP: An anterior approach to percutaneous lower cervical cordotomy. J Neurosurg 25:553–560, 1996
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Kluwer Academic Publishers
About this chapter
Cite this chapter
Brisman, R. (1989). Anterolateral Spinal Cordotomy for Cancer Pain. In: Brisman, R. (eds) Neurosurgical and Medical Management of Pain: Trigeminal Neuralgia, Chronic Pain, and Cancer Pain. Topics in Neurosurgery, vol 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1651-0_22
Download citation
DOI: https://doi.org/10.1007/978-1-4613-1651-0_22
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8917-3
Online ISBN: 978-1-4613-1651-0
eBook Packages: Springer Book Archive