Neurosurgical and Medical Management of Pain: Trigeminal Neuralgia, Chronic Pain, and Cancer Pain

  • Ronald Brisman

Part of the Topics in Neurosurgery book series (TINS, volume 3)

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Introduction

    1. Ronald Brisman
      Pages 1-2
  3. Basic Science of Pain

    1. Front Matter
      Pages 3-3
  4. Trigeminal Neuralgia

  5. Chronic Benign Pain

    1. Front Matter
      Pages 91-91
    2. Ralph N. Wharton
      Pages 105-111
    3. Stanley J. Myers
      Pages 113-124
    4. Ronald Brisman
      Pages 125-126

About this book

Introduction

Ronald Brisman, M.D. This book will discuss three areas where the The multiplicity of procedures with varying neurosurgeon may provide an important degrees of risks and benefits sometimes re­ contribution to the relief of intractable pain: quires a sequential approach, but always an trigeminal and other facial neuralgias, chronic individual one, matching an appropriate treat­ noncancer pain, and cancer pain. By one ment plan or procedure for a particular patient intervention, the neurosurgeon often may pro­ at a specific time in his or her illness. vide long-lasting pain relief. New techniques, The neurosurgical chapters in this book which have developed since the 1970s and represent my experience with several hundred continue to evolve, dominate the neurosur­ patients during a 12-year period from 1975 gical armamentarium because they are not only through 1987. I have relied heavily on the effective, but safe. These include percutaneous works of others, which have been quoted from radio frequency electrocoagulation for trigem­ the neurosurgical literature, but this book is inal neuralgia, spinal stimulation for chronic not meant to be encyclopedic. noncancer pain, and intraspinal morphine in­ At least as important as knowing when to fusion for cancer pain. operate is knowing when not to do so, and this Sometimes a procedure relieves pain but the is particularly true of the treatment of pain. pain recurs; it may be necessary to repeat the Most patients with pain do not require neuro­ procedure, which in the case of radiofrequency surgical intervention.

Keywords

brain brain tumor diagnosis intervention multiple sclerosis pain spinal cord

Editors and affiliations

  • Ronald Brisman
    • 1
  1. 1.College of Physicians and Surgeons, Columbia Presbyterian Medical CenterColumbia UniversityNew YorkUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4613-1651-0
  • Copyright Information Springer-Verlag US 1989
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-1-4612-8917-3
  • Online ISBN 978-1-4613-1651-0
  • About this book