SELECTIVE PERCUTANEOUS CORDOTOMY IN THE TREATMENT OF MALIGN PAIN – CASE REPORT

Băncilă Ana Teodora ¹, Ianovici N. ², Băncilă S. C. ^3
1 Oncology Radiotherapy „Coltea” Clinic Hospital of Bucharest
² Faculty of Medicine, “Gr. T. Popa” University of Iasi, Discipline NeuroSurgery
³ M.D. General Medicine

Abstract

At least 10% of patients with cancer experience pain that is refractory to systemic analgesics. For most of these paints, interventional techniques may be of benefit but they are often not considered or are difficult to access. Of these techniques, spinal analgesia is most commonly used while neurosurgical procedures, such as percutaneous cordotomy with sectioning of the spinothalamic tract are rarely used. We describe a case illustrating the successful use of percutaneous cordotomy in a patient with refractory mixed nociceptive and neuropathic pain secondary to a lung cancer.