Pain Research and Management

Pain Research and Management / 2008 / Article

Case Report | Open Access

Volume 13 |Article ID 635197 |

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, vol. 13, Article ID 635197, 5 pages, 2008.

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 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.

Copyright © 2008 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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