J Korean Neurosurg Soc.  2002 Dec;32(6):582-585.

Bilateral Cingulotomy for the Intractable Cancer Pain: Case Report

• Kim MS
• Moon JG
• Kim CH
• Lee HK

Abstract

The authors report two cases of intractable cancer pain, which was managed by bilateral cingulotomy. The technique involved stereotaxis using magnetic resonance guidance and local anesthesia, with the introduction of a mechanical and chemical lesion(absolute alcohol). Postoperative pain relief was excellent that lasted relatively prolonged period of time until disease has far advanced. There were no complications related to procedure. Bilateral stereotactic cingulotomy is considered safe, feasible and most of all, effective in the severe, disabling pain from metastatic lesion. Also, a invasive surgery with general anesthesia can be avoided.

Keyword

Cancer pain; Bilateral cingulotomy; Mechanical and chemical lesion

MeSH Terms

Anesthesia, General
Anesthesia, Local
Pain, Postoperative