Palliation of intractable cancer pain by MRI-guided cingulotomy

Eric T. Wong; Seval Gunes; Ellen Gaughan; Richard B. Patt; Lawrence E. Ginsberg; Samuel J. Hassenbusch; Richard Payne

doi:10.1097/00002508-199709000-00013

Palliation of intractable cancer pain by MRI-guided cingulotomy

Eric T. Wong, Seval Gunes, Ellen Gaughan, Richard B. Patt, Lawrence E. Ginsberg, Samuel J. Hassenbusch, Richard Payne

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	260-263
Number of pages	4
Journal	Clinical Journal of Pain
Volume	13
Issue number	3
DOIs	https://doi.org/10.1097/00002508-199709000-00013
State	Published - 1997
Externally published	Yes

Keywords

Cancer pain
Cingulotomy

ASJC Scopus subject areas

Clinical Neurology
Anesthesiology and Pain Medicine

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10.1097/00002508-199709000-00013

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title = "Palliation of intractable cancer pain by MRI-guided cingulotomy",

abstract = "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.",

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AU - Wong, Eric T.

AU - Gunes, Seval

AU - Gaughan, Ellen

AU - Patt, Richard B.

AU - Ginsberg, Lawrence E.

AU - Hassenbusch, Samuel J.

AU - Payne, Richard

PY - 1997

Y1 - 1997

N2 - 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.

AB - 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.

KW - Cancer pain

KW - Cingulotomy

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Palliation of intractable cancer pain by MRI-guided cingulotomy

Abstract

Keywords

ASJC Scopus subject areas

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