Effectiveness of CT-guided percutaneous cordotomy in intractable cancer pain: Experience in 14 patients.
Pain Pract
; 24(2): 296-302, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37846871
ABSTRACT
BACKGROUND:
Severe and treatment-resistant pain is a major issue for patients with cancer. Cordotomy is an effective approach for addressing severe cancer-related pain. It is based on blocking the transmission of pain by damaging the lateral spinothalamic tract.METHODS:
Computed tomography guided cordotomy was performed on 14 patients who did not respond to medical and interventional pain management methods.RESULTS:
Fourteen patients with cancer pain underwent CT-guided percutaneous cordotomy. Pain relief was reported in 86% of the patients. The visual analog scale values before and after cordotomy were compared and a significant difference was found (p = 0.0001). The improvement in the Karnofsky Performance Scale score of the patients was found to be statistically significant (p = 0.0001).CONCLUSION:
We believe that CT-guided cordotomy, performed by experienced hands in a team of experienced individuals and applied to the right patients, is an effective treatment. However, it is crucial to exercise extreme caution regarding potential side effects and serious complications during the cordotomy procedure.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Intratável
/
Dor do Câncer
/
Neoplasias
Limite:
Humans
Idioma:
En
Revista:
Pain Pract
Assunto da revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Turquia