title: CT-guided percutaneous punctate midline myelotomy for the treatment of intractable visceral pain: a technical note.
abstract: Surgical treatment of intractable visceral pain has always been a challenge. The relatively recent discovery of a specific visceral pain pathway brought a new insight to this matter. The authors describe a new technique to interrupt this pathway, the CT-guided percutaneous punctate midline myelotomy, successfully applied in two patients with intractable pelvic visceral pain. Due to its simplicity, safety and high effectiveness, it may become the treatment of choice for intractable visceral pain.
authors.affiliation: Stereotactic and Functional Neurosurgery Service and Department of Gynecology of Hospital das Clínicas, Medical School, Universidade Federal de Goiás, Brazil. ovf@ih.com.br
authors.forename: O
authors.initials: O
authors.lastname: Vilela Filho
authors.forename: M R
authors.initials: MR
authors.lastname: Araujo
authors.forename: R S
authors.initials: RS
authors.lastname: Florencio
authors.forename: M A
authors.initials: MA
authors.lastname: Silva
authors.forename: M T
authors.initials: MT
authors.lastname: Silveira
mesh_terms: D002818:Cordotomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010148:Intractable Pain / Q000209:etiology / Q000628:therapy*; D017699:Pelvic Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D015641:Radiography, Interventional; D012449:Safety; D013116:Spinal Cord / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000503:physiopathology