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Journal of Korean Neurosurgical Society > Volume 32(6); 2002 > Article
Journal of Korean Neurosurgical Society 2002;32(6): 582-585.
Bilateral Cingulotomy for the Intractable Cancer Pain: Case Report.
Man Su Kim, Jae Gon Moon, Chang Hyun Kim, Ho Kook Lee
Department of Neurosurgery, KangNam Sacred Heart Hospital, Hallym University, Seoul, Korea. moonnsun@chollian.net
ABSTRACT
The authors report two cases of intractable cancer pain, which was managed by bilateral cingulotomy. The technique involved stereotaxis using magnetic resonance guidance and local anesthesia, with the introduction of a mechanical and chemical lesion(absolute alcohol). Postoperative pain relief was excellent that lasted relatively prolonged period of time until disease has far advanced. There were no complications related to procedure. Bilateral stereotactic cingulotomy is considered safe, feasible and most of all, effective in the severe, disabling pain from metastatic lesion. Also, a invasive surgery with general anesthesia can be avoided.
Key Words: Cancer pain; Bilateral cingulotomy; Mechanical and chemical lesion
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