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RT Journal Article
SR Electronic
T1 Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 387
OP 390
DO 10.3174/ajnr.A4981
VO 38
IS 2
A1 Shepherd, T.M.
A1 Hoch, M.J.
A1 Cohen, B.A.
A1 Bruno, M.T.
A1 Fieremans, E.
A1 Rosen, G.
A1 Pacione, D.
A1 Mogilner, A.Y.
YR 2017
UL http://www.ajnr.org/content/38/2/387.abstract
AB SUMMARY: 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.