A comparison of results from center-median and basal thalamotomies for pain.
In a personal series of 43 patients with chronic pain treated by thalamotomy, 23 patients had basal thalamotomy and 19 had center-median thalamotomy. Forty-nine procedures were performed. The best results occurred in patients with pain in the upper part of the body and in patients who had bilateral center-median thalamotomy. Bilateral center-median thalamotomy was superior to basal thalamotomy and had fewer side effects. Despite adverse reports, thalamotomy remains a useful analgesic procedure.
Hitchcock
E R
ER
Departamento De Neurologia, Hospital Das Clinicas de Faculdade de Medicina, Universidade De Sao Paulo, Brazil.
Teixeira
M J
MJ
D005500:Follow-Up Studies; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D010146:Pain / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D013788:Thalamus / Q000601:surgery*; D016896:Treatment Outcome