1999
DOI: 10.1136/thx.54.3.238
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Percutaneous cervical cordotomy for the control of pain in patients with pleural mesothelioma

Abstract: Background-Severe chest pain is common in mesothelioma. Percutaneous cervical cordotomy, which interrupts the spinothalamic tract at the C1/C2 level causing contralateral loss of pain sensation, is particularly appropriate in mesothelioma as the tumour is unilateral and systemic analgesia may be ineVective and is limited by harmful side eVects. Method-A retrospective review was performed to determine the eVectiveness and complication rate of this procedure. Results-Fifty two patients were using opioids prior t… Show more

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Cited by 82 publications
(68 citation statements)
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References 16 publications
(8 reference statements)
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“…Percutaneous cordotomy is contraindicated in patients with coagulation disorder, severely reduced ventilator function (FEV 1 < 12 mg kg -1 ) [6], and if the patient is unable to co-operate. Other contraindications are severe pulmonary dysfunction, behaviour of the patient, and bilateral upper extremity pathologies.…”
Section: Percutaneous Cordotomymentioning
confidence: 99%
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“…Percutaneous cordotomy is contraindicated in patients with coagulation disorder, severely reduced ventilator function (FEV 1 < 12 mg kg -1 ) [6], and if the patient is unable to co-operate. Other contraindications are severe pulmonary dysfunction, behaviour of the patient, and bilateral upper extremity pathologies.…”
Section: Percutaneous Cordotomymentioning
confidence: 99%
“…Painful dysesthesia occurs in about 5% of cases [6]. A major permanent complication observed is urinary retention, occurring in 11.1% of cases [7].…”
Section: Complicationsmentioning
confidence: 99%
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“…Pain may be due to direct tumour infiltration of the ribs, nerve roots, intercostal nerves, chest wall, or in some cases, due to the tumor invading the neurovascular bundle. In addition, in patients who undergo surgery, post thoracotomy pain is common (3). The pain associated with MPM is often more severe and difficult to treat than pain caused by lung cancer (4).…”
Section: Introductionmentioning
confidence: 99%