Palliation of intractable cancer pain by MRI-guided cingulotomy.
Published
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
Language
- eng
Conference Location
- United States