Palliation of intractable cancer pain by MRI-guided cingulotomy

被引:38
作者
Wong, ET
Gunes, S
Gaughan, E
Patt, RB
Ginsberg, LE
Hassenbusch, SJ
Payne, R
机构
[1] UNIV TEXAS,MD ANDERSON CANC CTR,DEPT NEUROONCOL,HOUSTON,TX 77030
[2] UNIV TEXAS,MD ANDERSON CANC CTR,DEPT ANESTHESIOL & CRIT CARE,HOUSTON,TX 77030
[3] UNIV TEXAS,MD ANDERSON CANC CTR,DEPT RADIOL,HOUSTON,TX 77030
[4] UNIV TEXAS,MD ANDERSON CANC CTR,DEPT NEUROSURG,HOUSTON,TX 77030
[5] BAYLOR COLL MED,DEPT ANESTHESIOL,HOUSTON,TX 77030
关键词
cingulotomy; cancer pain;
D O I
10.1097/00002508-199709000-00013
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Case Report: Three cases of intractable pain arising from widespread metastatic cancer with poor response to opioids were treated with MRT-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.
引用
收藏
页码:260 / 263
页数:4
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