Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients

Imagem de Miniatura
Arquivos
art_FONOFF_Microendoscopyguided_percutaneous_cordotomy_for_intractable_pain_case_series_2016.PDF (4.61 MB)
Citações na Scopus
8
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER ASSOC NEUROLOGICAL SURGEONS
Autores
OLIVEIRA, Ywzhe Sifuentes Almeida de
Citação
JOURNAL OF NEUROSURGERY, v.124, n.2, p.389-396, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
OBJECTIVE The aim of this study was to show that microendoscopic guidance using a double-channel technique could be safely applied during percutaneous cordotomy and provides clear real-time visualization of the spinal cord and surrounding structures during the entire procedure. METHODS Twenty-four adult patients with intractable cancer pain were treated by microendoscopic-guided percutaneous radiofrequency (RF) cordotomy using the double -channel technique under local anesthesia. A percutaneous lateral puncture was performed initially under fluoroscopy guidance to localize the target. When the subarachnoid space was reached by the guiding cannula, the endoscope was inserted for visualization of the spinal cord and surrounding structures. After target visualization, a second needle was inserted to guide the RF electrode. Cordotomy was performed by a standard RF method. RESULTS The microendoscopic double -channel approach provided real-time visualization of the target in 91% of the cases. The other 9% of procedures were performed by the single -channel technique. Significant analgesia was achieved in over 90% of the cases. Two patients had transient ataxia that lasted for a few weeks until total recovery. CONCLUSIONS The use of percutaneous microendoscopic cordotomy with the double-channel technique is useful for specific manipulations of the spinal cord. It provides real-time visualization of the RF probe, thereby adding a degree of safety to the procedure.
Palavras-chave
pain, endoscopy, spinal endoscopy, radiofrequency, minimally invasive neurosurgery, spinothalamic tract, cancer, percutaneous cordotomy, spinal cord, surgical technique
URI
https://observatorio.fm.usp.br/handle/OPI/13457
Referências
  1. Amano K, 1991, Acta Neurochir Suppl (Wien), V52, P143
  2. ROSOMOFF HL, 1965, J NEUROSURG, V23, P639, DOI 10.3171/jns.1965.23.6.0639
  3. ISCHIA S, 1984, J NEUROL NEUROSUR PS, V47, P141, DOI 10.1136/jnnp.47.2.141
  4. Sarzi-Puttini P, 2012, CLIN DRUG INVEST, V32, P21, DOI 10.2165/11630050-000000000-00000
  5. KANPOLAT Y, 1993, ACTA NEUROCHIR, V123, P92, DOI 10.1007/BF01476292
  6. ROSOMOFF HL, 1969, J NEUROSURG, V31, P41, DOI 10.3171/jns.1969.31.1.0041
  7. Bekar A, 2007, SURG NEUROL, V67, P504, DOI 10.1016/j.surneu.2006.07.025
  8. Rozet I, 2008, CURR OPIN ANESTHESIO, V21, P537, DOI 10.1097/ACO.0b013e32830edafd
  9. MULLAN S, 1965, J NEUROSURG, V22, P548, DOI 10.3171/jns.1965.22.6.0548
  10. Atkin N, 2010, J PAIN SYMPTOM MANAG, V39, P924, DOI 10.1016/j.jpainsymman.2009.09.011
  11. Kanpolat Y, 2013, TURK NEUROSURG, V23, P81, DOI 10.5137/1019-5149.JTN.6980-12.0
  12. Caraceni A, 2012, J PAIN SYMPTOM MANAG, V43, P833, DOI 10.1016/j.jpainsymman.2011.05.018
  13. Bain E, 2013, J PALLIAT MED, V16, P901, DOI 10.1089/jpm.2013.0027
  14. Mantyh PW, 2006, NAT REV NEUROSCI, V7, P797, DOI 10.1038/nrn1914
  15. Spiller WG, 1912, J AMER MED ASSOC, V58, P1489
  16. Fonoff ET, 2011, ACTA NEUROCHIR SUPPL, V108, P75, DOI 10.1007/978-3-211-99370-5_12
  17. Nagaro T, 2001, J NEUROSURG, V95, P425, DOI 10.3171/jns.2001.95.3.0425
  18. Collins KL, 2012, STEREOT FUNCT NEUROS, V90, P266, DOI 10.1159/000337535
  19. Meyerson BA, 2001, ACTA ANAESTH SCAND, V45, P1108, DOI 10.1034/j.1399-6576.2001.450910.x
  20. Raslan AM, 2011, J NEUROSURG, V114, P155, DOI 10.3171/2010.6.JNS10119
  21. MULLAN S, 1963, J NEUROSURG, V20, P931, DOI 10.3171/jns.1963.20.11.0931
  22. Raslan AM, 2005, STEREOT FUNCT NEUROS, V83, P159, DOI 10.1159/000088992
  23. BELMUSTO L, 1963, J NEUROSURG, V20, P225, DOI 10.3171/jns.1963.20.3.0225
  24. Teixeira MJ, 2012, J NEUROSURG, V116, P331, DOI 10.3171/2011.8.JNS11618
  25. Deandrea S, 2014, J PAIN SYMPTOM MANAG, V47, P57, DOI 10.1016/j.jpainsymman.2013.02.015
  26. Fonoff ET, 2010, J NEUROSURG, V113, P524, DOI 10.3171/2010.4.JNS091779
  27. Kanpolat Y, 2004, NEUROSURG CLIN N AM, V15, P307, DOI 10.1016/j.nec.2004.02.013
  28. MULLAN S, 1971, J NEUROSURG, V35, P360, DOI 10.3171/jns.1971.35.3.0360
  29. Batzdorf U, 1970, Calif Med, V112, P21
  30. Crul Ben J P, 2005, J Headache Pain, V6, P24, DOI 10.1007/s10194-005-0145-6
  31. Foerster O, 1932, Z GESAMTE NEUROL PSY, V138, P1, DOI 10.1007/BF02870563
  32. Garber JE, 2001, BONICAS MANAGEMENT P, P2023
  33. Gilbert JW, 2010, NEUROSURGERY, V67, DOI 10.1227/01.NEU.0000384046.03035.9C
  34. Henriques F G, 1976, Arq Neuropsiquiatr, V34, P258
  35. HITCHCOC.E, 1967, J NEUROSURG, V27, P320, DOI 10.3171/jns.1967.27.4.0320
  36. Kanpolat Y, 1997, Neurosurg Focus, V2, pe4
  37. Kanpolat Y, 2009, NEUROSURGERY S, V64
  38. Kanpolat Y, 2004, YOUMANS NEUROLOGICAL, V3, P3059
  39. Lukas Anne, 2008, J Pain Symptom Manage, V36, pe1, DOI 10.1016/j.jpainsymman.2008.07.003
  40. Raslan AM, 2008, NEUROSURGERY, V63, P226, DOI 10.1227/01.NEU.0000297060.73518.DD
  41. Rosomoff HL, 1990, MANAGEMENT PAIN, P2067
  42. Sindou M, 1988, P 5 WORLD C PAIN AMS, P477
  43. Tasker RR, 2009, TXB STEREOTACTIC FUN, P2137, DOI 10.1007/978-3-540-69960-6_126
  44. Tasker RR, 1989, TXB PAIN, P154
  45. Tasker RR, 1998, TXB STEREOTACTIC FUN, P1491
  46. Willis WD, 2004, SENSORY MECH SPINAL

Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/26
Artigos e Materiais de Revistas Científicas - ODS/03