Clinical Observations on Respiratory and Vasomotor Disturbance as Related to Cervical Cordotomies

Belmusto, L.; Brown, Elwyn S.; Owens, Guy

doi:10.3171/jns.1963.20.3.0225

Cited by 70 publications

(24 citation statements)

References 14 publications

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“…This technique was first devised for the treatment of shoulder, arm, and upper chest pain from bronchial carcinoma. Although such pain may be relieved by high cervical cordotomy, preoperative impairment of respiratory function entails a high rate of respiratory complications, due to injury of descending pathways (Belmusto et al, 1963;Hitchcock and Leece, 1967 Respiratory and bladder troubles were never observed in our patients. Sensory changes are, by contrast, worth commenting on.…”

mentioning

confidence: 94%

High cervical commissural myelotomy in the treatment of pain

Papo¹,

Luongo²

1977

Pain

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confidence: 94%

High cervical commissural myelotomy in the treatment of pain

Papo¹,

Luongo²

1977

Pain

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“…The most anterior part of the lateral columns of the cervical spinal cord is critical for the maintenance of automatic respiratory activity in humans, 2) and damage during cervical cordotomy to the reticulospinal tracts can cause respiratory dysfunction. 1,8) Studies of patients undergoing high cervical cordotomies showed that the section of the cord in the region of the descending reticulospinal pathways selectively impaired spontaneous respiratory muscle activity. 10) High bilateral ventrolateral cordotomy also causes decreased tidal volume.…”

Section: Discussionmentioning

confidence: 99%

“…10) High bilateral ventrolateral cordotomy also causes decreased tidal volume. 1,5) Respiratory insufficiency after cordotomy is caused by the interruption of descending respiratory pathways rather than damage to lower motor neurons. 1) Therefore, with depression of the reticulospinal tracts, decreased amplitude of inspiratory discharge would result in decreased TV.…”

Section: Discussionmentioning

confidence: 99%

Laminoplasty Improves Respiratory Function in Elderly Patients With Cervical Spondylotic Myelopathy.

Yanaka

Noguchi²,

Asakawa³

et al. 2001

Neurol. Med. Chir.(Tokyo)

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Respiratory insufficiency after acute cervical trauma is well documented, but the relationship between respiratory function and chronic lesions, such as cervical spondylosis, has received scant attention. This clinical study investigated the effect of cervical spondylosis on respiratory function in 12 patients over 65 years of age who underwent expansive laminoplasty. Functional and neurological status were assessed using the Japanese Orthopaedic Association (JOA) scale and Neurosurgical Cervical Spine Scale (NCSS). To assess the effect of laminoplasty on respiratory function in patients with cervical spondylotic myelopathy, lung volumes including vital capacity, tidal volume (TV), inspiratory reserve volume, expiratory reserve volume, inspiratory capacity, and forced expiratory volume were measured by spirometer before surgery and 6 months after surgery. The arterial blood gas values were also measured before and after surgery. All patients showed functional improvement after surgery, and neurological examination 6 months after surgery revealed a significant improvement in both JOA scale and NCSS scores (p º 0.001). There were no significant differences in most lung volumes, but TV (p ＝ 0.039) at 6 months after surgery showed a significant increase compared to before surgery. PCO 2 also showed a significant reduction after surgery (p ＝ 0.047). This limited study revealed that laminoplasty improved respiratory function in patients over 65 years of age with cervical spondylotic myelopathy. Lung volume measurement may be one method to estimate spinal cord function after a surgical procedure.

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“…24 Bilateral high cervical cordotomy is not frequently practiced due to the risk of central hypoventilation syndrome or Ondine's curse. 1,2,7,9,13,16,17,20 The initial studies of percutaneous cordotomy were performed using fluoroscopic guidance. Although the pro cedures were effective in achieving pain reduction, 4 there was a significant risk of motor complications (0%-15% for unilateral and 12%-39% for bilateral procedures).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain

Reddy¹,

Okhuysen-Cawley

Harsh³

et al. 2013

PED

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Percutaneous cordotomy using CT guidance has been shown to be a safe and effective means of reducing pain in adults with cancer in 2 large case series. Its effectiveness in pediatric patients, however, has not been reported. Here, the authors present a case of CT-guided percutaneous cordotomy being used effectively for the treatment of unilateral limb pain in a 9-year-old boy suffering from metastatic medulloblastoma. The efficacy and minimally invasive nature of this procedure support its use in selected pediatric cases.

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Clinical Observations on Respiratory and Vasomotor Disturbance as Related to Cervical Cordotomies

Cited by 70 publications

References 14 publications

High cervical commissural myelotomy in the treatment of pain

High cervical commissural myelotomy in the treatment of pain

Laminoplasty Improves Respiratory Function in Elderly Patients With Cervical Spondylotic Myelopathy.

Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain

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