Neurosurgical options in cancer pain management
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.
KeywordsMigration Catheter Corticosteroid Dementia Morphine
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- 1.Brodal A. 1981. Neurological Anatomy in Relation to Clinical Medicine. Oxford University Press, New York, pp 1953.Google Scholar
- 2.Coggeshall RE. Neurosurgery 4:443–448.Google Scholar
- 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
- 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
- 11.Richardson DE, Akil H. 1977. Pain reduction by electrical brain stimulation in man. J Neurosurg 47:178–183, 184–194.Google Scholar
- 12.Rosomoff HL. 1974. Percutaneous radiofrequency cervical cordotomy for intractable pain. Adv Neurol 4:683–688.Google Scholar
- 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.White JC, Sweet WH. 1969. Pain and the Neurosurgeon. A Forty-Year Experience. Charles C. Thomas, Springfield, Il, pp 1000.Google Scholar