Somatotopic arrangement of lateral spinothalamic tract in percutaneous cervical cordotomy.
As a new clinical approach for the purpose of mapping a lamina analysis, the present report deals with another landmark for insertion of the spinal needle in man other than the usual dentate ligament when performing a percutaneous cordotomy. Electrophysiological studies were made on 19 patients in order to determine the effect of electrostimulation with a bipolar concentric electrode, as well as to corroborate the position of the electrode radiologically. A new apparatus has been devised so that one can locate the target insertion point easily.
D002818:Cordotomy / Q000295:instrumentation* / Q000379:methods; D004566:Electrodes; D006801:Humans; D010148:Intractable Pain / Q000628:therapy*; D013238:Stereotaxic Techniques; D013788:Thalamus / Q000601:surgery*