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CT-guided pain procedures for intractable pain in malignancy
Y Kanpolat1, S Caglar, S Akyar
1Department of Neurosurgery, Ibni Sina (Avicenna) Hospital Ankara University, Faculty of Medicine, Turkey.
Acta Neurochirurgica. Supplement
|January 1, 1995
Summary
CT-guided percutaneous destructive procedures offer effective pain management for malignancy. Percutaneous cordotomy achieved 97% pain control, while trigeminal tractotomy and extralemniscal myelotomy also yielded satisfactory results for intractable pain.
Area of Science:
- Neurosurgery
- Pain Management
- Oncology
Background:
- Intractable pain in malignancy is a significant clinical challenge.
- Minimally invasive destructive procedures have been utilized since 1987.
Purpose of the Study:
- To evaluate the efficacy of CT-guided stereotactic percutaneous destructive procedures for localized intractable pain in malignancy.
Main Methods:
- Percutaneous cordotomy (including selective cordotomy) was performed in 67 cases.
- CT-guided trigeminal tractotomy was applied in 19 cases.
- CT-guided extralemniscal myelotomy was performed in 12 cases.
Main Results:
- Percutaneous cordotomy resulted in 97% complete pain control.
- Selective cordotomy provided analgesia only in the painful region.
- Trigeminal tractotomy and extralemniscal myelotomy showed satisfactory pain relief in malignancy-related pain.
Conclusions:
- CT-guided stereotactic percutaneous destructive procedures are effective for managing localized intractable pain in cancer patients.
- These minimally invasive techniques offer significant pain relief and improved quality of life.