Kanpolat Y, Akyar S, Cağlar S, Unlü A, Bilgiç S
Department of Neurosurgery, University of Ankara, Faculty of Medicine, Turkey.
Acta Neurochir (Wien). 1993;123(1-2):92-6. doi: 10.1007/BF01476292.
In this article the technique of CT-Guided Selective Cordotomy is described. The advantages of CT guidance in percutaneous cordotomy are the measurement of spinal cord diameters at the lesion site for each individual patient, direct visualization of target electrode relations, demonstration of spinal cord displacement during the procedure and localization of the electrode system in a specific part of the spinothalamic tract. Local destruction of the spinothalamic tract leads to selective cordotomy. Since 1987, CT-Guided Cordotomy has been applied to 54 cases of intractable cancer pain. In 33 of the 54 cases, the cordotomy was selective enough to be successful with a local denervation of the area where the pain was dominant. Except for one temporary hemiparesis and one temporary ataxia, no complications or side effects were observed.
本文描述了CT引导下选择性脊髓切开术的技术。CT引导下经皮脊髓切开术的优点包括测量每个患者病变部位的脊髓直径、直接观察目标电极关系、术中显示脊髓移位以及将电极系统定位在脊髓丘脑束的特定部位。脊髓丘脑束的局部破坏导致选择性脊髓切开术。自1987年以来，CT引导下脊髓切开术已应用于54例顽固性癌痛患者。在这54例患者中的33例中，脊髓切开术的选择性足够高，能够成功地对疼痛占主导的区域进行局部去神经支配。除了1例暂时性偏瘫和1例暂时性共济失调外，未观察到并发症或副作用。
