PT  - JOURNAL ARTICLE
AU  - T.M. Shepherd
AU  - M.J. Hoch
AU  - B.A. Cohen
AU  - M.T. Bruno
AU  - E. Fieremans
AU  - G. Rosen
AU  - D. Pacione
AU  - A.Y. Mogilner
TI  - Palliative CT-Guided Cordotomy for Medically Intractable Pain in Patients with Cancer
AID  - 10.3174/ajnr.A4981
DP  - 2017 Feb 01
TA  - American Journal of Neuroradiology
PG  - 387--390
VI  - 38
IP  - 2
4099  - http://www.ajnr.org/content/38/2/387.short
4100  - http://www.ajnr.org/content/38/2/387.full
SO  - Am. J. Neuroradiol.2017 Feb 01; 38
AB  - SUMMARY: Palliative cervical cordotomy can be performed via percutaneous radiofrequency ablation of the lateral C1–2 spinothalamic tract. This rare procedure can be safe, effective, and advantageous in mitigating medically intractable unilateral extremity pain for selected patients with end-stage cancer. This report reviews the indications, techniques, risks, and potential benefits of cordotomy. We describe our recent experience treating 3 patients with CT-guided C1–2 cordotomy and provide the first characterization of spinal cord diffusion MR imaging changes associated with successful cordotomy.