title: Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain.
abstract: Percutaneous cordotomy using CT guidance has been shown to be a safe and effective means of reducing pain in adults with cancer in 2 large case series. Its effectiveness in pediatric patients, however, has not been reported. Here, the authors present a case of CT-guided percutaneous cordotomy being used effectively for the treatment of unilateral limb pain in a 9-year-old boy suffering from metastatic medulloblastoma. The efficacy and minimally invasive nature of this procedure support its use in selected pediatric cases.
authors.affiliation: Departments of Neurosurgery, MD Anderson Cancer Center, Houston, Texas, USA.
authors.forename: Gaddum D
authors.initials: GD
authors.lastname: Reddy
authors.forename: Regina
authors.initials: R
authors.lastname: Okhuysen-Cawley
authors.forename: Viraat
authors.initials: V
authors.lastname: Harsh
authors.forename: Ashwin
authors.initials: A
authors.lastname: Viswanathan
mesh_terms: D002648:Child; D002818:Cordotomy / Q000379:methods*; D006119:Groin; D017051:Hospice Care; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008527:Medulloblastoma / Q000150:complications* / Q000556:secondary; D010148:Intractable Pain / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D010166:Palliative Care / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome