Palliation of intractable cancer pain by MRI-guided cingulotomy

Eric T. Wong, Seval Gunes, Ellen Gaughan, Richard B. Patt, Lawrence E. Ginsberg, Samuel J. Hassenbusch, Richard Payne

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Case Report: Three cases of intractable pain arising from widespread metastatic cancer with poor response to opioids were treated with MRI-guided cingulotomy. Results and Conclusions: In most cases, MRI-guided cingulotomy was associated with significant pain relief and reduced opioid use. To provide insight into the role of MRI-guided cingulotomy in oncologic pain refractory to more conservative measures, the relative risks and benefits of cingulotomy are discussed, along with the course of one patient who experienced postoperative cognitive impairment. This report also describes the relevant neurosurgical and pharmacotherapeutic issues associated with management of pain in patients with widespread metastatic disease.

Original languageEnglish (US)
Pages (from-to)260-263
Number of pages4
JournalClinical Journal of Pain
Volume13
Issue number3
DOIs
StatePublished - Dec 22 1997

Keywords

  • Cancer pain
  • Cingulotomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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    Wong, E. T., Gunes, S., Gaughan, E., Patt, R. B., Ginsberg, L. E., Hassenbusch, S. J., & Payne, R. (1997). Palliation of intractable cancer pain by MRI-guided cingulotomy. Clinical Journal of Pain, 13(3), 260-263. https://doi.org/10.1097/00002508-199709000-00013