Percutaneous Cervical Cordotomy for Refractory Cancer Pain With General Anesthesia and Neuromonitoring: A Case Report.
Salaar Ahmed, Yuhao Huang, Mensure Polat et al.
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Case in brief
A 54-year-old woman with metastatic gallbladder carcinoma presented with severe unilateral abdominal pain unresponsive to standard treatments. She underwent percutaneous cervical cordotomy under general anesthesia, which was guided by intraoperative CT and neuromonitoring. Postoperatively, her pain decreased from 8-10/10 to 0/10 by Day 1, although she later experienced manageable contralateral 'mirror pain' and pain recurrence due to disease progression.
Diagnostic / clinical pearl
Percutaneous cervical cordotomy can be effectively performed under general anesthesia, expanding its use in patients with refractory cancer pain who prioritize comfort.