Skip to main content

Neurosurgical Management of Cancer Pain

  • Chapter
Practical Handbook of Neurosurgery

Abstract

Because of environmental factors and humanity’s advanced age, the incidence of cancer is gradually increasing, and its treatment is emerging as a social problem worldwide [48]. Cancer is the second most common cause of death in developed countries. Cancer pain is seen in 20–50% of patients when the disease is diagnosed, and can affect up to 75% of patients in advanced cancer stages. Pain is moderate or severe in 40–50% of patients and very severe or excruciating in 25–30% [2, 3]. This chapter has been allocated for the presentation of destructive methods that remain efficient in treating intractable pain problems in cancer patients and which are based on destruction of the pain conducting pathways. A historical background of the later — with corresponding references — is also the matter of this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 599.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Al-Chaer ED, Lawand NB, Weslund KN, Willis WD (1996) Pelvic visceral input into the nucleus gracilis is largely mediated by the postsynaptic dorsal column pathway. J Neurophysiol 76: 2675–2690

    CAS  PubMed  Google Scholar 

  2. American Cancer Society (2008) Cancer Facts & Figures 70 pp

    Google Scholar 

  3. Arbit E, Pannullo S (2003) Neurosurgical modalities in the management of cancer-related pain. In: Sykes N, Fallon MT, Patt RB (eds) Cancer pain. Arnold Publishers, London, pp 259–267

    Google Scholar 

  4. Becker R, Sure U, Bertalanffy H (1999) Punctate midline myelotomy — a new approach in the management of visceral pain. Acta Neurochir (Wien) 141: 881–888

    Article  CAS  Google Scholar 

  5. Bekar A, Kocaeli H, Abaş F, Bozkurt M (2007) Bilateral high-level percutaneous cervical cordotomy in cancer pain due to lung cancer: a case report. Surg Neurol 67: 504–507

    Article  PubMed  Google Scholar 

  6. Bernard EJ Jr, Nashold BS Jr, Caputi F, Moossy JJ (1987) Nucleus caudalis DREZ lesions for facial pain. Br J Neurosurg 1(1): 81–91

    Article  PubMed  Google Scholar 

  7. Crue BL, Carregal JA, Felsoory A (1972) Percutaneous stereotactic radiofrequency. Trigeminal tractotomy with neurophysiological recordings. Confin Neurol 34: 389–397

    Article  Google Scholar 

  8. Gybels JM (1995) Indications for the use of neurosurgical techniques in pain control. In: Bond MR, Charlton JE, Wolf J (eds) Proceedings of the Sixth World Congress on Pain. Elsevier, Amsterdam, p 475

    Google Scholar 

  9. Hirshberg RM, Al-Chaer ED, Lawand NB, Weslund KN, Willis WD (1996) Is there a pathway in the posterior funiculus that signals visceral pain? Pain 67: 291–305

    Article  CAS  PubMed  Google Scholar 

  10. Hitchcock ER (1970) Stereotactic trigeminal tractotomy. Ann Clin Res 19: 131–135

    Google Scholar 

  11. Hitchcock E (1970) Stereotactic cervical myelotomy. J Neurol Neurosurg Psychiatry 33: 224

    Article  CAS  PubMed  Google Scholar 

  12. Kanpolat Y, Deda H, Akyar S, Bilgic S (1989) CT-guided percutaneous cordotomy. Acta Neurochir Suppl (Wien) 46: 67–68

    CAS  Google Scholar 

  13. Kanpolat Y, Akyar S, Caglar S, Unlu A, Bilgic S (1993) CT-guided percutaneous selective cordotomy. Acta Neurochir (Wien) 123: 92–97

    Article  CAS  Google Scholar 

  14. Kanpolat Y, Savas A, Caglar S, Temiz C, Akyar S (1997) Computerized tomography-guided percutaneous bilateral selective cordotomy. Neurosurg Focus 2: Article 4

    Google Scholar 

  15. Kanpolat Y, Deda H, Akyar S, Caglar S, Bilgic S (1989) CT-guided trigeminal tractotomy. Acta Neurochir (Wien) 100: 112–114

    Article  CAS  Google Scholar 

  16. Kanpolat Y, Savas A, Batay F, Sinav A (1998) Computed tomography-guided trigeminal tractotomy-nucleotomy in the management of vagoglossopharyngeal and geniculate neuralgia. Neurosurgery 43: 484–490

    Article  CAS  PubMed  Google Scholar 

  17. Kanpolat Y, Savas A, Caglar S, Aydin V, Tascioglu AB, Akyar S (1999) Computed tomography-guided percutaneous trigeminal tractotomy-nucleotomy. In: Techniques in Neurosurgery, vol. 5, no. 3. Lippincott Williams & Wilkins Inc. Philadelphia, pp 244–251

    Google Scholar 

  18. Kanpolat Y, Tuna H, Bozkurt M, Elhan AH (2008) The spinal and nucleus caudalis DREZ operations for chronic pain—technical report. Oper Neurosurg 62(Suppl 1): ONS235–ONS244

    Google Scholar 

  19. Kanpolat Y, Caglar S, Akyar S, Temiz C (1995) CT-guided pain procedures for intractable pain in malignancy. Acta Neurochir Suppl 64: 88–91

    CAS  PubMed  Google Scholar 

  20. Kanpolat Y (2003) Cordotomy for pain. In: Schulder M (ed) Handbook of stereotactic and functional neurosurgery. Marcel & Dekker, New York, Basel, pp 459–472

    Google Scholar 

  21. Kanpolat Y (2007) Percutaneous destructive pain procedures on the upper spinal cord and brain stem in cancer pain: CT-guided techniques, indications and results. Adv Tech Stand Neurosurg 32: 147–173

    Article  CAS  PubMed  Google Scholar 

  22. Kanpolat Y (2002) Percutaneous stereotactic pain procedures: percutaneous cordotomy, extralemniscal myelotomy, trigeminal tractotomy-nucleotomy. In: Burchiel K (ed) Surgical management of pain. Thieme, Stuttgart, New York, pp 745–762

    Google Scholar 

  23. Kanpolat Y, Cosman E (1996) Special RF electrode system for CT-guided pain procedures. Neurosurgery 38: 600–603

    Article  CAS  PubMed  Google Scholar 

  24. Kanpolat Y, Akyar S, Caglar S (1995) Diametral measurements of upper spinal cord for stereotactic pain procedures (Experimental and clinical study). Surg Neurol 43: 478–483

    Article  CAS  PubMed  Google Scholar 

  25. Kunc Z (1965) Treatment of essential neuralgia of the 9th nerve by selective tractotomy. J Neurosurg 23: 494–500

    Article  CAS  PubMed  Google Scholar 

  26. Lahuerta J, Lipton S, Wells JC (1985) Percutaneous cervical cordotomy: results and complications in a recent series of 100 patients. Ann R Coll Surg Engl 67: 41–44

    CAS  PubMed  Google Scholar 

  27. Lorenz R (1976) Methods of percutaneous spinothalamic tract section. Adv Tech Stand Neurosurg 3: 123–154

    Google Scholar 

  28. Mullan S, Harper PV, Hekmatpanach J, Torres H, Dobbin G (1963) Percutaneous interruption of spinal pain tracts by means of a strontium 90 needle. J Neurosurg 20: 931–939

    Article  CAS  PubMed  Google Scholar 

  29. Nashold BS Jr, Urban B, Zorub DS (1976) Phantom pain relief by focal destruction of the substantia gelatinosa of Rolando. In: Bonica JJ, Albe-Fessard D (eds) Advances in pain research and therapy, vol. 1. Raven Press, New York, pp 959–963

    Google Scholar 

  30. Osenbach RK (2004) Nontrigeminal craniofacial pain syndromes. In: Follett KA (ed) Neurosurgical pain management. Elsevier Inc., Philadelphia, pp 84–98

    Chapter  Google Scholar 

  31. Osenbach RK, Burchiel KJ (2000) Percutaneous cordotomy. In: Kaye A, Black P (eds.) Operative neurosurgery, Chapter 128. Churchill-Livingstone, Philadelphia, pp 1569–1579

    Google Scholar 

  32. Raslan AM (2008) Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain. Oper Neurosurg 62: ONS226–ONS234

    Google Scholar 

  33. Rolando L (1824) Ricerche Anatomiche sulla Strucura del Midollo Spinale (in Italian). Dizionario Periodico di Medicina. Staperia Reale, Torino, Italy

    Google Scholar 

  34. Rosomoff HL, Brown CJ, Sheptak P (1965) Percutaneous radiofrequency cervical cordotomy: technique. J Neurosurg 23: 639–644

    Article  CAS  PubMed  Google Scholar 

  35. Schvarcz JR (1976) Stereotactic extralemniscal myelotomy. J Neurol Neurosurg Psychiatry 39: 53–57

    Article  CAS  PubMed  Google Scholar 

  36. Schvarcz JR (1975) Stereotactic trigeminal tractotomy. Confinia Neurol 37: 73–77

    Article  CAS  Google Scholar 

  37. Sindou M, Fischer G (1974) La radicellotomie posterieure selective. Premiers resultats dans le chirurgie de la douleur (in French). Neurochirurgie 20: 397–408

    Google Scholar 

  38. Sindou M (1998) Spinal entry zone interruption for persistent pain. In: Gildenberg PL, Tasker RR (eds) Textbook of stereotactic and functional neurosurgery. McGraw-Hill, Houston, pp 1565–1572

    Google Scholar 

  39. Sindou M (2002) Dorsal root entry zone lesions. In: Burchiel KH (ed) Surgical management of pain, Chapter 56. Thieme Medical Publishers, New York, pp 701–713

    Google Scholar 

  40. Sindou M (2006) Microsurgical DREZotomy. In: Schmidek HJ, Roberts DW (eds) Operative neurosurgical techniques: indications, methods and results, 5th edn. Elsevier-Saunders, Philadelphia, pp 1573–1588

    Google Scholar 

  41. Sindou M, Jeanmonod D, Mertens P (1990) Ablative neurosurgical procedures for the treatment of chronic pain. Neurophysiol Clin 20: 399–423

    Article  CAS  PubMed  Google Scholar 

  42. Sjöqvist O (1938) Studies on pain conduction in the trigeminal nerve. Acta Psychiatrica et Neurologica [suppl] XVII: 139 pp

    Google Scholar 

  43. Spiller WG, Martin E (1912) The treatment of persistent pain of organic origin in the lower part of body by division of the anterolateral column of the spinal cord JAMA 58: 1489–1490

    Google Scholar 

  44. Teixeira MJ (1998) Various functional procedures for pain. In: Gildenberg PL, Tasker RR (eds) Textbook of stereotactic and functional neurosurgrey, Part II, Facial pain. The McGraw-Hill Companies Inc., New York, pp 1389–1402

    Google Scholar 

  45. Vic-D’Azyr F (1786–89) Traité d’Anatomie et de Physiologie, vol. 1, Anatomie et Physiologie du Cerveau, vol. 2, Planches Anatomique, Paris, Didot

    Google Scholar 

  46. Webster’s Third New International Dictionary (1993) Merriam-Webster, 4th edn. Springfield, Massachusetts

    Google Scholar 

  47. White JC, Sweet WH (1969) Pain and the neurosurgeon. In: Pain and the neurosurgeon. Charles C. Thomas Publisher, Springfield, IL, pp 232–243

    Google Scholar 

  48. World Health Organization (1996) Cancer pain relief and palliative care, 2nd edn. WHO, Geneva

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag/Wien

About this chapter

Cite this chapter

Kanpolat, Y. (2009). Neurosurgical Management of Cancer Pain. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_82

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-84820-3_82

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-84819-7

  • Online ISBN: 978-3-211-84820-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics