CT-guided stereotactic antero-medial pulvinotomy and centromedian-parafascicular thalamotomy for intractable malignant pain.
A quick and safe CT image-guided stereotactic thalamotomy technique that has proved ideal for alleviating medically refractory intractable pain due to malignant disease is described. A simple method of deriving cartesian coordinates for target points that facilitates functional neurosurgery using CT images and the Brown-Roberts-Wells stereotactic system is also described.
Whittle
I R
IR
Department of Clinical Neurosciences, Western General Hospital, Edinburgh, Scotland, UK.
Jenkinson
J L
JL
D000368:Aged; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D002813:Chondrosarcoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010146:Pain / Q000209:etiology / Q000601:surgery*; D013238:Stereotaxic Techniques; D013788:Thalamus / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome