Advertisement

Neurosurgical options in cancer pain management

  • Robert E. Harbaugh
  • Richard L. Saunders
Part of the Cancer Treatment and Research book series (CTAR, volume 30)

Abstract

For the great majority of patients with cancer, pain can be managed without neurosurgical intervention. However, for those patients for whom other therapy is unsuccessful, neurosurgery offers a wide array of procedures for decreasing or eliminating pain and suffering. This chapter presents a brief review of the neuroanatomy and neurochemistry of pain transmission. Neurosurgical options for cancer pain management are discussed with regard to indications, expected results and complications. This chapter is not meant to be an exhaustive review, but rather, a useful reference for the range of neurosurgical procedures available for the patient with cancer pain.

Keywords

Cancer Pain Neurosurgical Procedure Cancer Pain Management Poor Wound Healing Dorsal Root Entry Zone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brodal A. 1981. Neurological Anatomy in Relation to Clinical Medicine. Oxford University Press, New York, pp 1953.Google Scholar
  2. 2.
    Coggeshall RE. Neurosurgery 4:443–448.Google Scholar
  3. 3.
    Coombs DW, Saunders RL. 1985. Intraspinal infusion of narcotic drugs. In: Neurosurgery Wilkins RH, Rengachary SS (eds), MacGraw-Hill, New York, pp 2390–2397.Google Scholar
  4. 4.
    Coombs DW, Saunders RL, Gaylor MS et al. 1983. Relief of continuous chronic pain by intraspinal narcotics infusion via and implanted reservoir. JAMA 250:2335–2339.CrossRefGoogle Scholar
  5. 5.
    Harbaugh RE, Coombs DW, Saunders RL et al. 1982. Implanted continuous epidural morphine infusion system: Preliminary report. J Neurosurg 56:803–806.PubMedCrossRefGoogle Scholar
  6. 6.
    King RB. 1977. Anterior commissurotomy for intractable pain. J Neurosurg 47:7–11.PubMedCrossRefGoogle Scholar
  7. 7.
    Leavans ME, Hill CS, Cech DA et al. 1982. Intrathecal and intraventricular morphine for pain in cancer patients: Initial study. J Neurosurg 56:241–245.CrossRefGoogle Scholar
  8. 8.
    Loeser JD. 1972. Dorsal rhizotomy for the relief of chronic pain. J Neurosurg 36:745–750.PubMedCrossRefGoogle Scholar
  9. 9.
    Nashold BS Jr, Crue JBL Jr. 1982. Stereotactic mesencephalotomy and trigeminal tractotomy. In: Neurological Surgery Youmans JR (ed). WB Saunders, Philadelphia, pp 3702–3716.Google Scholar
  10. 10.
    Nashold BS, Ostahl RH. 1979. Dorsal root entry zone lesions for pain relief. J Neurosurg 51:59–69.PubMedCrossRefGoogle Scholar
  11. 11.
    Richardson DE, Akil H. 1977. Pain reduction by electrical brain stimulation in man. J Neurosurg 47:178–183, 184–194.Google Scholar
  12. 12.
    Rosomoff HL. 1974. Percutaneous radiofrequency cervical cordotomy for intractable pain. Adv Neurol 4:683–688.Google Scholar
  13. 13.
    Tindall GT, Ambrose SS, Christy JH et al. 1976. Hypophysectomy in the treatment of disseminated carcinoma of the breast and prostate gland. South Med J 69:579–587.PubMedCrossRefGoogle Scholar
  14. 14.
    Watkins ES. The place of neurosurgery in the relief of intractable pain. In: Relief of Intractable Pain Swerdlow M (ed). Excerpta Medica, Amsterdam pp 21–58.Google Scholar
  15. 15.
    White JC, Sweet WH. 1969. Pain and the Neurosurgeon. A Forty-Year Experience. Charles C. Thomas, Springfield, Il, pp 1000.Google Scholar
  16. 16.
    Young RG. 1978. Evaluation of dorsal column stimulation in the treatment of chronic pain. Neurosurgery 3:373–379.PubMedCrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers, Boston 1986

Authors and Affiliations

  • Robert E. Harbaugh
  • Richard L. Saunders

There are no affiliations available

Personalised recommendations