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DOI: 10.1055/s-0040-1718425
Cervical Cordotomy in Terminal Cancer: Pain Relieving in Oncological Treatment
Cordotomia cervical em câncer terminal: Alívio da dor em tratamento oncológico![](https://www.thieme-connect.de/media/10.1055-s-00028832/202101/lookinside/thumbnails/10-1055-s-0040-1718425_2000033-1.jpg)
Abstract
Cordotomy consists in the discontinuation of the lateral spinothalamic tract (LST) in the anterolateral quadrant of the spinal cord, which aims to reduce the transference of nociceptive information in the dorsal horn of the gray matter of the spinal cord to the somatosensory cortex. The main indication is for patients with terminal cancer that have a low life expectancy. It improves the quality of life by relieving pain. The results are promising and the pain relief rate varies between 69 and 100%. Generally speaking, the complications are mostly temporary and not remarkable.
Resumo
A cordotomia consiste na descontinuação do trato espinotalâmico lateral (LST, na sigla em inglês) no quadrante anterolateral da medula espinhal, que visa reduzir a transferência de informações nociceptivas no corno dorsal da substância cinzenta da medula espinhal para o córtex somatossensorial. A principal indicação é para pacientes com câncer terminal com baixa expectativa de vida. Esse procedimento melhora a qualidade de vida, aliviando a dor. Os resultados são promissores e a taxa de alívio da dor varia entre 69 e 100%. De um modo geral, as complicações são principalmente temporárias e não são notáveis.
Note
Work developed at: Faculdade de Medicina do ABC (FMABC).
Publikationsverlauf
Eingereicht: 15. April 2020
Angenommen: 05. August 2020
Artikel online veröffentlicht:
26. November 2020
© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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