Bilateral cingulumotomy in the treatment of reflex sympathetic dystrophy.
Bilateral anterior cingulumotomy has been used to treat psychiatric diseases and chronic pain. We report an interesting case involving a young woman who underwent cingulumotomy for the treatment of intractable total body pain secondary to generalized reflex sympathetic dystrophy. Her initial response after two procedures was excellent though 1 year later her pain recurred and was resistant to a subsequent cingulumotomy.
Departments of Anesthesiology, Neurosurgery and Neurology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PAU.S.A.
Jean L
JL
Santo
Lorraine M
LM
Arias
Giancarlo
G
Barolat
Robert J
RJ
Schwartzman
Karen
K
Grossman
D000328:Adult; D002404:Catheterization; D004487:Edema / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006179:Gyrus Cinguli; D006801:Humans; D007866:Leg; D010146:Pain; D010166:Palliative Care; D012008:Recurrence; D012019:Reflex Sympathetic Dystrophy / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D012086:Reoperation; D013238:Stereotaxic Techniques