Palliation of Intractable Cancer Pain by MRI-Guided Cingulotomy
| Autor: | Lawrence E. Ginsberg, Richard B. Patt, Richard Payne, Seval Gunes, Samuel J. Hassenbusch, Ellen Gaughan, Eric T. Wong |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Disease Gyrus Cinguli Cholangiocarcinoma Neoplasms medicine Humans Melanoma medicine.diagnostic_test business.industry Palliative Care Cancer Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Pain Intractable Surgery Anesthesiology and Pain Medicine Head and Neck Neoplasms Relative risk Carcinoma Squamous Cell Female Intractable pain Neurology (clinical) business Cancer pain Mri guided |
| Zdroj: | The Clinical Journal of Pain. 13:260-263 |
| ISSN: | 0749-8047 |
| DOI: | 10.1097/00002508-199709000-00013 |
| Popis: | Case report Three cases of intractable pain arising from widespread metastatic cancer with poor response to opioids were treated with MRI-guided cingulotomy. Results and conclusions In most cases, MRI-guided cingulotomy was associated with significant pain relief and reduced opioid use. To provide insight into the role of MRI-guided cingulotomy in oncologic pain refractory to more conservative measures, the relative risks and benefits of cingulotomy are discussed, along with the course of one patient who experienced postoperative cognitive impairment. This report also describes the relevant neurosurgical and pharmacotherapeutic issues associated with management of pain in patients with widespread metastatic disease. |
| Databáze: | OpenAIRE |
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