• Stereotact Funct Neurosurg · Jan 2010

    Comparative Study

    Commissural myelotomy in the treatment of intractable visceral pain: technique and outcomes.

    • Ashwin Viswanathan, Allen W Burton, Andy Rekito, and Ian E McCutcheon.
    • Department of Neurosurgery, University of Texas MD Anderson Cancer Center, Houston, Tex. 77030-4009, USA.
    • Stereotact Funct Neurosurg. 2010 Jan 1; 88 (6): 374-82.

    BackgroundCommissural myelotomy can be valuable for patients with intractable pain associated with malignancy in the abdominal or pelvic region.MethodsBetween December 1992 and June 2009, 11 patients underwent commissural myelotomy at the University of Texas MD Anderson Cancer Center for the treatment of intractable lower extremity, thoracic, pelvic or sacral pain associated with unresectable tumors. The various surgical approaches to myelotomy are discussed.ResultsEight patients had excellent or good outcomes with regard to pain relief, defined as no further pain (excellent) or a significant reduction in pain and not requiring opioids stronger than codeine (good). Complications included new leg weakness (n = 3) and bladder dysfunction (n = 1).ConclusionWe found that for the properly selected patient, open midline commissural myelotomy can provide effective pain relief with acceptable postoperative morbidity.Copyright © 2010 S. Karger AG, Basel.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…