Palliation of intractable cancer pain by MRI-guided cingulotomy.


Journal Article

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.

Full Text

Cited Authors

  • Wong, ET; Gunes, S; Gaughan, E; Patt, RB; Ginsberg, LE; Hassenbusch, SJ; Payne, R

Published Date

  • September 1997

Published In

Volume / Issue

  • 13 / 3

Start / End Page

  • 260 - 263

PubMed ID

  • 9303260

Pubmed Central ID

  • 9303260

International Standard Serial Number (ISSN)

  • 0749-8047

Digital Object Identifier (DOI)

  • 10.1097/00002508-199709000-00013


  • eng

Conference Location

  • United States