Five-Year Follow-Up of a Cordotomy

Five-Year Follow-Up of a Cordotomy

Percutaneous cervical cordotomy is an invasive procedure to treat severe, opioid-resistant cancer pain. It is usually proposed for patients with a limited life expectancy. As a consequence, objective quantification of the long-term effects of this procedure is lacking. The present report describes a...

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Main Authors: Jan J Meeuse, Arnoud CM Vervest, Johannes H van der Hoeven, An KL Reyners
Format: Article
Language:English
Published: Hindawi Limited 2008-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2008/635197
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spelling doaj-a9c009d345e64d389c3f515d266e34f32020-11-24T22:39:34ZengHindawi LimitedPain Research and Management1203-67652008-01-0113650651010.1155/2008/635197Five-Year Follow-Up of a CordotomyJan J Meeuse0Arnoud CM Vervest1Johannes H van der Hoeven2An KL Reyners3Department of Internal Medicine, Section of Palliative Medicine, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsPain Clinic, Antonius Hospital, Sneek, NetherlandsDepartment of Neurology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Internal Medicine, Section of Palliative Medicine, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsPercutaneous cervical cordotomy is an invasive procedure to treat severe, opioid-resistant cancer pain. It is usually proposed for patients with a limited life expectancy. As a consequence, objective quantification of the long-term effects of this procedure is lacking. The present report describes a patient who was treated with a right-sided percutaneous cervical cordotomy for refractory cancer pain. Afterward, disseminated seminoma was diagnosed, which was cured with chemotherapy. Five years after the procedure, a qualitative and quantitative evaluation of the long-term effects was performed. Sensory dysfunction was observed in the left side of the body, but no motor neuron or autonomic dysfunction was observed. The influence of these long-term effects on the patient’s daily activities was limited.http://dx.doi.org/10.1155/2008/635197
collection DOAJ
language English
format Article
sources DOAJ
author Jan J Meeuse
Arnoud CM Vervest
Johannes H van der Hoeven
An KL Reyners
spellingShingle Jan J Meeuse
Arnoud CM Vervest
Johannes H van der Hoeven
An KL Reyners
Five-Year Follow-Up of a Cordotomy
Pain Research and Management
author_facet Jan J Meeuse
Arnoud CM Vervest
Johannes H van der Hoeven
An KL Reyners
author_sort Jan J Meeuse
title Five-Year Follow-Up of a Cordotomy
title_short Five-Year Follow-Up of a Cordotomy
title_full Five-Year Follow-Up of a Cordotomy
title_fullStr Five-Year Follow-Up of a Cordotomy
title_full_unstemmed Five-Year Follow-Up of a Cordotomy
title_sort five-year follow-up of a cordotomy
publisher Hindawi Limited
series Pain Research and Management
issn 1203-6765
publishDate 2008-01-01
description Percutaneous cervical cordotomy is an invasive procedure to treat severe, opioid-resistant cancer pain. It is usually proposed for patients with a limited life expectancy. As a consequence, objective quantification of the long-term effects of this procedure is lacking. The present report describes a patient who was treated with a right-sided percutaneous cervical cordotomy for refractory cancer pain. Afterward, disseminated seminoma was diagnosed, which was cured with chemotherapy. Five years after the procedure, a qualitative and quantitative evaluation of the long-term effects was performed. Sensory dysfunction was observed in the left side of the body, but no motor neuron or autonomic dysfunction was observed. The influence of these long-term effects on the patient’s daily activities was limited.
url http://dx.doi.org/10.1155/2008/635197
work_keys_str_mv AT janjmeeuse fiveyearfollowupofacordotomy
AT arnoudcmvervest fiveyearfollowupofacordotomy
AT johanneshvanderhoeven fiveyearfollowupofacordotomy
AT anklreyners fiveyearfollowupofacordotomy
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