Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Computerized tomography-guided percutaneous bilateral selective cordotomy.

Y Kanpolat1, A Savas, S Caglar

  • 1Department of Neurosurgery, University of Ankara, School of Medicine, Ankara, Turkey.

Neurosurgical Focus
|January 15, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparison of the effect of prolotherapy and paraffin wax for hand osteoarthritis.

European review for medical and pharmacological sciences·2023
Same author

Gunshot bullet embolisation in the middle cerebral artery.

Journal of the Royal Army Medical Corps·2017
Same author

The dose-dependent neuroprotective effect of alpha-lipoic acid in experimental spinal cord injury.

Neurologia i neurochirurgia polska·2013
Same author

The mission of academia in the age of science.

Prilozi·2012
Same author

Evaluation of muscle atrophy after axillary lymph node dissection.

Acta chirurgica Belgica·2009
Same author

Frontal sinus osteoma complicated with intracranial inflammatory polyp: a case report and review of the literature.

Revue de laryngologie - otologie - rhinologie·2009
Same journal

Letter to the Editor. Enhancing comparability in idiopathic intracranial hypertension research through standardized outcome measures.

Neurosurgical focus·2026
Same journal

Introduction. Contemporary spinal arthroplasty.

Neurosurgical focus·2026
Same journal

Cervical disc arthroplasty as a safe and effective procedure for obese patients.

Neurosurgical focus·2026
Same journal

Comparing the operational metrics and functional outcomes of lumbar arthroplasty implants: a systematic review.

Neurosurgical focus·2026
Same journal

Long-term reoperation risk after cervical disc arthroplasty versus fusion: a level-matched meta-analysis of FDA investigational device exemption studies and international randomized trials.

Neurosurgical focus·2026
Same journal

Total disc replacement versus lumbar interbody fusion for degenerative disc disease: a meta-analysis of randomized controlled trials.

Neurosurgical focus·2026
See all related articles

Computerized tomography (CT)-guided percutaneous cordotomy offers a safe and selective approach to pain management. This technique effectively treats intractable bilateral pain in cancer patients with a low complication rate.

Area of Science:

  • Neurosurgery
  • Pain Management
  • Radiology

Background:

  • Conventional percutaneous cordotomy risks sleep-induced apnea due to ventrolateral reticulospinal tract destruction.
  • Intractable bilateral pain in the lower trunk and extremities is a significant challenge in cancer care.

Purpose of the Study:

  • To evaluate the safety and efficacy of CT-guided percutaneous cordotomy using a novel needle electrode system.
  • To assess this technique as a potential treatment of choice for specific cancer pain.

Main Methods:

  • A series of five cancer patients with intractable bilateral lower trunk and extremity pain were treated.
  • Procedures involved CT-guided bilateral selective cordotomy utilizing a newly designed needle electrode system.
  • Lesioning was performed selectively in the lateral spinothalamic tract under direct visualization.

Related Experiment Videos

Main Results:

  • The CT-guided technique demonstrated safe, selective, and controlled lesioning.
  • All five patients experienced effective pain relief.
  • The procedure was associated with a low complication rate.

Conclusions:

  • CT-guided bilateral selective cordotomy with the new needle electrode system is an effective and safe treatment option.
  • This technique may be the preferred choice for managing intractable bilateral pain in cancer patients.
  • The method minimizes the risk of sleep-induced apnea compared to conventional approaches.