Chapter

Cervical cordotomy for cancer pain

Manohar Sharma

in Practical Management of Complex Cancer Pain

Published on behalf of Oxford University Press

Published in print February 2014 | ISBN: 9780199661626
Published online April 2014 | e-ISBN: 9780191743023 | DOI: https://dx.doi.org/10.1093/med/9780199661626.003.0016

Series: Oxford Specialist Handbooks in Oncology

Cervical cordotomy for cancer pain

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  • Pharmacology
  • Radiation Oncology
  • Palliative Medicine
  • Pain Medicine

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There is a growing interest in percutaneous cervical cordotomy as an effective pain relief procedure in the UK because of an expected increase in mesothelioma cases. Various publications and manuals have recommended access to cordotomy services for selective indications with difficult to control cancer pain syndromes. Cordotomy is very effective as a palliative pain control procedure for unilateral medically refractory cancer pain below the 4th cervical dermatome. Essentially cervical cordotomy means radiofrequency ablation of spinothalamic tracts on the side contralateral to medically refractory cancer pain.

Chapter.  2513 words.  Illustrated.

Subjects: Pharmacology ; Radiation Oncology ; Palliative Medicine ; Pain Medicine

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