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Cordotomie

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Chirurgie de la douleur

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Résumé

On estime que, dans plus de 20 % des cas, les douleurs des patients cancéreux sont mal contrôlées par les traitements [1]. Dans environ 80 % des cas, ces douleurs sont dues à la tumeur elle-même : ce sont des douleurs « inflammatoires ». Lorsque, malgré un traitement médical bien conduit, ces douleurs inflammatoires sont incomplètement soulagées, en particulier les accès douloureux paroxystiques et les douleurs provoquées, un traitement invasif doit être envisagé. La cordotomie anté-rolatérale est une intervention chirurgicale introduite dans les années 1900 pour supprimer les douleurs rebelles du cancer. Elle consiste à sectionner ou à coaguler la substance blanche du quadrant antérolatéral de la moelle du côté opposé à la douleur pour interrompre le faisceau spinothalamique qui transmet les messages nociceptifs (Fig. 1). La sensibilité thermoalgique est supprimée en même temps que les douleurs inflammatoires sous un niveau décalé de quelques métamères. L’effet, immédiat, peut durer plusieurs années [2–5].

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Références

  1. Kalanithi PS, Henderson JM (2009). Comprehensive Management of Cancer Pain Including Surgery. In: Lozano AM, Gildenberg PL, Tasker RR (ed). Textbook of Stereotactic and Functional Neurosurgery, vol 1. Berlin, Heidelberg, p 2061

    Google Scholar 

  2. Gybels JM, Sweet WH (1989) Neurosurgical treatment of persistent pain. Physiological and pathological mechanisms of human pain. In: Gildenberg PL (ed). Pain and Headache vol 1. Karger, Basel

    Google Scholar 

  3. Hodge CJ, Jr., Christensen M (2002). Anterolateral Cordotomy. In: Burchiel KJ (ed). Surgical Management of Pain. Thieme, New York, Stuttgart, p 732

    Google Scholar 

  4. Tasker RR (2009) Percutaneous Cordotomy. In: Lozano AM, Gildenberg PL, Tasker RR (ed). Textbook of Stereotactic and Functional Neurosurgery, vol 1. Berlin, Heidelberg, p 2137

    Google Scholar 

  5. White JC, Sweet WH (1969) Pain and the Neurosurgeon. A Forty-Year Experience. Charles C Thomas. Springfield, Illinois

    Google Scholar 

  6. Bullard D, Nashold B Jr. (2006). Open Anterolateral Cordotomy. In: Fessler RG, Sekhar LN (ed). Atlas of Neurosurgical Techniques: Spine and Peripheral Nerves. Thieme Publishers, New York, p 495

    Google Scholar 

  7. Kanpolat Y, Ugur HC, et al. (2009) Computed tomography-guided percutaneous cordotomy for intractable pain in malignancy. Neurosurgery 64(3 Suppl): 187–93; discussion 193–4

    Google Scholar 

  8. Cowie RA, Hitchcock ER (1982) The late results of antero-lateral cordotomy for pain relief. Acta Neurochir (Wien) 64(1–2): 39–50

    Article  CAS  Google Scholar 

  9. Collins KL, Taren JA, et al. (2012). Four-decade maintenance of analgesia with percutaneous cordotomy. Stereotact Funct Neurosurg 90(4): 266–72

    Article  PubMed  Google Scholar 

  10. Lahuerta J, Buxton P, et al. (1992) The location and function of respiratory fibres in the second cervical spinal cord segment: respiratory dysfunction syndrome after cervical cordotomy. J Neurol Neurosurg Psychiatry 55(12): 1142–5

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Nannapaneni R, Behari S, et al. (2005) Retracing Ondine’s curse. Neurosurgery 57(2): 354–63; discussion 354–63

    Article  PubMed  Google Scholar 

  12. Tasker RR (1994) The recurrence of pain after neurosurgical procedures. Qual Life Res 3 Suppl 1: S43–9

    Article  PubMed  Google Scholar 

  13. Nagaro T, Adachi N, et al. (2001). New pain following cordotomy: clinical features, mechanisms, and clinical importance. J Neurosurg 95(3): 425–31

    Article  CAS  PubMed  Google Scholar 

  14. Nathan PW, Smith MC (1979) Clinico-anatomical correlation in anterolateral cordotomy. In: Bonica JJ, Liebeskind, JC, Albe-Fessard DG (eds.). Advances in Pain Research and Therapy, vol 3. Raven Press, New York, p 921

    Google Scholar 

  15. Nathan PW (1956) Reference of sensation at the spinal level. J Neurol Neurosurg Psychiatry 19(2): 88–100

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Lapresle J, Guiot G (1953) [Late results, particularly central pain type neurological sequelae, in 8 cases of the anterolateral chordotomy in osteoarthritis of the hip]. Sem Hop 29(43): 2189–98

    CAS  PubMed  Google Scholar 

  17. Denny-Brown D (1979) Hyperesthesia from spinal and root lesions. The enigma of crossed sensory loss with cord hemisection. In: Bonica JJ, Liebeskind JC, Albe-Fessard DG (ed.). Advances in pain research and therapy. Vol 3. Raven Press, New York, p 889

    Google Scholar 

  18. Villanueva L (2001) Les voies de la douleur : une multiplicité à l’égale de l’expérience douloureuse. La Lettre de l’Institut UPSA de la Douleur (14)

    Google Scholar 

  19. Willis WD, Westlund KN (2009) Anatomy and Physiology of Cancer Pain. In: Lozano AM, Gildenberg PL, Tasker RR (ed). Textbook of Stereotactic and Functional Neurosurgery, vol 1. Berlin, Heidelberg, p 1985

    Google Scholar 

  20. Vierck CJ (2013) Cordotomy effects on humans and animal models. In: Schmidt RF, Gebhart G (ed). Encyclopedia of Pain, Second Edition. Springer, NY, Heidelberg

    Google Scholar 

  21. Atkin N, Jackson KA, et al. (2010) Bilateral open thoracic cordotomy for refractory cancer pain: a neglected technique? J Pain Symptom Manage 39(5): 924–9

    Article  PubMed  Google Scholar 

  22. Jones B, Finlay I, et al. (2003) Is there still a role for open cordotomy in cancer pain management? J Pain Symptom Manage 25(2): 179–84

    Article  CAS  PubMed  Google Scholar 

  23. Raffa RB, Pergolizzi JV Jr. (2014) A modern analgesics pain ‘pyramid’. J Clin Pharm Ther 39(1): 4–6

    Article  CAS  PubMed  Google Scholar 

  24. Bonica JJ (1974) Ascending Pathways in Spinal Cord. International symposium on Pain. Central Mechanisms. Advances in Neurology, Vol 4. Raven Press, New-York, p 127

    Google Scholar 

  25. Dum RP., Levinthal DJ, et al. (2009) The spinothalamic system targets motor and sensory areas in the cerebral cortex of monkeys. J Neurosci 29(45): 14223–35

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Garcia-Larrea L (2012) The posterior insular-opercular region and the search of a primary cortex for pain. Neurophysiol Clin 42(5): 299–313

    Article  CAS  PubMed  Google Scholar 

  27. Raslan AM, Cetas JS, et al. (2011). Destructive procedures for control of cancer pain: the case for cordotomy. J Neurosurg 114(1): 155–70

    Article  PubMed  Google Scholar 

  28. Mansuy L, Sindou M, et al. (1976). [Spino-thalamic cordotomy in cancerous pain. Results of a series of 124 patients operated on by the direct posterior approach]. Neurochirurgie 22(5): 437–44

    CAS  PubMed  Google Scholar 

  29. Farcot JM, Mercky F, et al. (1988). [Percutaneous cervical chordotomy in primary or secondary chest cancer pains (Apropos of 19 cases)]. Agressologie 29(2): 87–9

    CAS  PubMed  Google Scholar 

  30. Crul BJ, Blok LM, et al. (2005) The present role of percutaneous cervical cordotomy for the treatment of cancer pain. J Headache Pain 6(1): 24–9

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. Service de neurochirurgie et CETD, fondation Rothschild, Paris, France

    Jean-Baptiste Thiébaut, Vincent d’Hardemare, Anne Margot-Duclot & Bénédicte Silhouette

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  1. Jean-Baptiste Thiébaut
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  2. Vincent d’Hardemare
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  3. Anne Margot-Duclot
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  4. Bénédicte Silhouette
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Correspondence to Jean-Baptiste Thiébaut .

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Thiébaut, JB., d’Hardemare, V., Margot-Duclot, A., Silhouette, B. (2014). Cordotomie. In: Chirurgie de la douleur. Springer, Paris. https://doi.org/10.1007/978-2-8178-0509-2_33

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  • DOI: https://doi.org/10.1007/978-2-8178-0509-2_33

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0508-5

  • Online ISBN: 978-2-8178-0509-2

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