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Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer

Shepherd, T M ; Hoch, M J ; Cohen, B A ; Bruno, M T ; Fieremans, E ; Rosen, G ; Pacione, D ; Mogilner, A Y

American journal of neuroradiology : AJNR, 2017-02, Vol.38 (2), p.387-390 [Periódico revisado por pares]

United States: American Society of Neuroradiology

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Título:
Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer
Autor: Shepherd, T M ; Hoch, M J ; Cohen, B A ; Bruno, M T ; Fieremans, E ; Rosen, G ; Pacione, D ; Mogilner, A Y
Assuntos: Bone Neoplasms - complications ; Cancer ; Cancer Pain - surgery ; Catheter Ablation ; Computed tomography ; Cordotomy - methods ; Female ; Health risks ; Humans ; Leiomyosarcoma - complications ; Magnetic resonance imaging ; Male ; Middle Aged ; Osteosarcoma - complications ; Pain ; Pain, Intractable - surgery ; Palliation ; Palliative Care - methods ; Patients ; Pelvic Neoplasms - complications ; Radio frequency ; Radiography, Interventional ; Spinal cord ; Spine ; Spinothalamic tract ; Spinothalamic Tracts - surgery ; Tomography, X-Ray Computed
É parte de: American journal of neuroradiology : AJNR, 2017-02, Vol.38 (2), p.387-390
Notas: ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ObjectType-Article-1
ObjectType-Feature-2
Descrição: Palliative cervical cordotomy can be performed via percutaneous radiofrequency ablation of the lateral C1-2 spinothalamic tract. This rare procedure can be safe, effective, and advantageous in mitigating medically intractable unilateral extremity pain for selected patients with end-stage cancer. This report reviews the indications, techniques, risks, and potential benefits of cordotomy. We describe our recent experience treating 3 patients with CT-guided C1-2 cordotomy and provide the first characterization of spinal cord diffusion MR imaging changes associated with successful cordotomy.
Editor: United States: American Society of Neuroradiology
Idioma: Inglês

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Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer

Shepherd, T M ; Hoch, M J ; Cohen, B A ; Bruno, M T ; Fieremans, E ; Rosen, G ; Pacione, D ; Mogilner, A Y

United States: American Society of Neuroradiology

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