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- Cordotomy abstract "Cordotomy (or chordotomy) is a surgical procedure that disables selected pain-conducting tracts in the spinal cord, in order to achieve loss of pain and temperature perception. This procedure is commonly performed on patients experiencing severe pain due to cancer or other diseases for which there is currently no cure. Anterolateral cordotomy is effective for relieving unilateral, somatic pain while bilateral cordotomies may be required for visceral or bilateral pain.Cordotomy is usually done percutaneously with fluoroscopic guidance while the patient is under local anesthesia. Open cordotomy, which requires a laminectomy, is often risky for patients with poor medical conditions, but may be required if percutaneous cordotomy is not feasible or an attempt has failed.Cordotomy is now used exclusively for pain due to cancer where treatment to level 3 of the World Health Organisation pain ladder has proved ineffective. Cordotomy is especially indicated for pain due to asbestos-related cancers such as pleural and peritoneal mesothelioma.Although cordotomy is effective in the relief of pain, the effect is usually temporary. Dysesthesia develops after most cordotomies.A number of alternative surgical procedures have evolved in the 20th century; these include:Commissural myelotomy, with limited rostro-caudal range; it produces bilateral analgesia (Armour 1927; Hitchcock 1970; 74).Limited midline myelotomy for the treatment of pelvic visceral cancer pain (Gildenberg and Hirshberg, 1984).Dr. Elie D. Al-Chaer and his colleagues discovered in 1998 a new pathway in the spinal cord relatively specific for visceral pain - the pain that originates from visceral organs such as the colon, bladder and pancreas. The new pathway is located in the posterior columns, traditionally believed to mediate light touch and kinesthesia. This discovery led to a paradigm shift in the understanding of pain pathways and in the approach to treat intractable visceral pain. As a result, punctate midline myelotomy was introduced around the world as a new surgical procedure for the treatment of visceral pain residual to cancer and refractory to conventional treatment.".
- Cordotomy wikiPageExternalLink 3143.
- Cordotomy wikiPageExternalLink back.pain.radiofrequency.2.1396270.html.
- Cordotomy wikiPageExternalLink bob2.htm.
- Cordotomy wikiPageExternalLink acelab.
- Cordotomy wikiPageID "658196".
- Cordotomy wikiPageLength "3428".
- Cordotomy wikiPageOutDegree "21".
- Cordotomy wikiPageRevisionID "648242820".
- Cordotomy wikiPageWikiLink Asbestos.
- Cordotomy wikiPageWikiLink Cancer.
- Cordotomy wikiPageWikiLink Cancer_pain.
- Cordotomy wikiPageWikiLink Category:Neurosurgery.
- Cordotomy wikiPageWikiLink Category:Surgical_oncology.
- Cordotomy wikiPageWikiLink Dysesthesia.
- Cordotomy wikiPageWikiLink Fluoroscope.
- Cordotomy wikiPageWikiLink Fluoroscopy.
- Cordotomy wikiPageWikiLink Kinesthesia.
- Cordotomy wikiPageWikiLink Laminectomy.
- Cordotomy wikiPageWikiLink Local_anesthesia.
- Cordotomy wikiPageWikiLink Pain.
- Cordotomy wikiPageWikiLink Pain_ladder.
- Cordotomy wikiPageWikiLink Perception.
- Cordotomy wikiPageWikiLink Percutaneous.
- Cordotomy wikiPageWikiLink Peritoneal_mesothelioma.
- Cordotomy wikiPageWikiLink Pleural.
- Cordotomy wikiPageWikiLink Pleural_cavity.
- Cordotomy wikiPageWikiLink Proprioception.
- Cordotomy wikiPageWikiLink Spinal_cord.
- Cordotomy wikiPageWikiLink Temperature.
- Cordotomy wikiPageWikiLink World_Health_Organisation.
- Cordotomy wikiPageWikiLink World_Health_Organization.
- Cordotomy wikiPageWikiLinkText "Cordotomy".
- Cordotomy wikiPageWikiLinkText "cordotomies".
- Cordotomy wikiPageWikiLinkText "cordotomy".
- Cordotomy wikiPageWikiLinkText "neurolytic blocks".
- Cordotomy wikiPageWikiLinkText "neurolytic".
- Cordotomy hasPhotoCollection Cordotomy.
- Cordotomy meshid "D002818".
- Cordotomy name "Cordotomy".
- Cordotomy wikiPageUsesTemplate Template:Citation_needed.
- Cordotomy wikiPageUsesTemplate Template:Infobox_interventions.
- Cordotomy wikiPageUsesTemplate Template:Neurosurgical_procedures.
- Cordotomy wikiPageUsesTemplate Template:Reflist.
- Cordotomy wikiPageUsesTemplate Template:Surgery-stub.
- Cordotomy subject Category:Neurosurgery.
- Cordotomy subject Category:Surgical_oncology.
- Cordotomy hypernym Procedure.
- Cordotomy type AnatomicalStructure.
- Cordotomy type Article.
- Cordotomy type Article.
- Cordotomy type Specialty.
- Cordotomy comment "Cordotomy (or chordotomy) is a surgical procedure that disables selected pain-conducting tracts in the spinal cord, in order to achieve loss of pain and temperature perception. This procedure is commonly performed on patients experiencing severe pain due to cancer or other diseases for which there is currently no cure.".
- Cordotomy label "Cordotomy".
- Cordotomy sameAs Cordotomia.
- Cordotomy sameAs Chordotomie.
- Cordotomy sameAs Neuroliza.
- Cordotomy sameAs m.030cgf.
- Cordotomy sameAs Q2073982.
- Cordotomy sameAs Q2073982.
- Cordotomy wasDerivedFrom Cordotomy?oldid=648242820.
- Cordotomy isPrimaryTopicOf Cordotomy.