Talamotomia estereotaxica por resonancia magnetica para el tratamiento del dolor neural

Translated title of the contribution: MRI guided stereotactic thalamotomy for the treatment of the neurogenic pain

I. Balas, C. Llumiguano, Z. Horvath, F. Kover, T. P. Doczi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction. Medial thalamotomy is one of the first stereotactic operations to have been used for neurogenic pain, has a low complication rate and no risk of the development of iatrogenic neurogenic pain. It represents selective local relief for all types of pain, without causing somatosensorial deficit. Patients and methods. We did 39 posteromedial thalamotomies in patients with persistent intractable pain due to various disorders. The pain was assessed pre-and postoperatively on the VAS (Visual Analogic Scale). Results. Half of the patients operated on had relief of pain after thalamotomy. In 84% (n = 39) of our cases this relief occurred on the second day, in 70% (n = 35) after three months, in 63% (n = 27) after six months, in 64% (n = 25) after nine months, in 62% (n = 23) of the patients after 12 months, and in 62% (n = 22) after 24 months. Three patients had temporary complications and one a permanent complication, but this did not make him an invalid. Conclusion. Posteromedial stereotactic thalamotomy under MR guidance can provide safe, effective treatment for persistent, intractable pain.

Translated title of the contributionMRI guided stereotactic thalamotomy for the treatment of the neurogenic pain
Original languageSpanish
Pages (from-to)531-533
Number of pages3
JournalRevista de Neurologia
Volume31
Issue number6
DOIs
Publication statusPublished - 2000

Keywords

  • Chronic pain
  • Neurogenic pain
  • Stereotactic thalamotomy
  • Syndrome

ASJC Scopus subject areas

  • Clinical Neurology

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