Abstract:
:Introduction Stereotactic mesencephalotomy is an ablative procedure which lesions the pain pathways (spinothalamic and trigeminothalamic tracts) at the midbrain level to treat medically refractory, nociceptive, contralateral pain. Sparsely reported in contemporary English language literature, this operation is at risk of being lost from the modern-day neurosurgical practice. Methods We present a case report and brief review of the literature on stereotactic mesencephalotomy. A 17-year-old girl with cervical cord glioblastoma and medically refractory unilateral head and neck pain was treated with contralateral stereotactic mesencephalotomy. The lesion was placed at the level of the inferior colliculus, half way between the lateral edge of the aqueduct and lateral border of the midbrain. Results The patient had no head and neck pain immediately after the procedure and remained pain-free for the remainder of her life (five months). She was weaned off her pre-operative narcotics and was able to leave hospital, meeting her palliative care goals. Conclusions Cancer-related unilateral head and neck nociceptive pain in the palliative care setting can be successfully treated with stereotactic mesencephalotomy. We believe that stereotactic mesencephalotomy is the treatment of choice for a small number of patients typified by our case. The authors make a plea to the palliative care and neurosurgical communities to rediscover this operation.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Ivanishvili Z,Pujara S,Honey CM,Chang S,Honey CRdoi
10.3109/02688697.2015.1133805subject
Has Abstractpub_date
2016-08-01 00:00:00pages
444-7issue
4eissn
0268-8697issn
1360-046Xjournal_volume
30pub_type
杂志文章,评审abstract::Background: Few data are available on the risk factors involved in nosocomial meningitis from multi-drug-resistant Gram-negative bacteria (MDR-GNB). Our aim was to identify the risk factors of prognosis for MDR-GNB nosocomial meningitis.Methods: Retrospective study of patients undergoing neurosurgery and with positive...
journal_title:British journal of neurosurgery
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doi:10.1080/02688697.2019.1710819
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abstract:OBJECTIVES:To assess changes in neurological function after cranioplasty. METHODS:Functional and neurocognitive assessments including activities of daily living assessment, functional independence measure (FIM) and the Cognitive assessment report (COGNISTAT) were conducted on all patients within 72 h before and 7 days...
journal_title:British journal of neurosurgery
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doi:10.3109/02688697.2013.817532
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abstract::We report a case of plasma cell granuloma which is a rare intracranial tumour showing plasma cell infiltration. It mimics meningioma and solitary plasmacytoma clinically and radiologically. Clinical presentation, diagnostic investigations and management are discussed with a review of the literature. ...
journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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doi:10.1080/02688690600852274
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journal_title:British journal of neurosurgery
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abstract:PURPOSE:There is an abundance of articles published on low-grade glioma. The aim of this study was to identify and review the 50 most-cited articles on low-grade glioma, and to perform a bibliometric analysis. METHODS:In June 2017, we performed a basic search of the Web of Science database using "low-grade glioma mana...
journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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abstract::Gliomatosis cerebri (GC), which mainly consists of oligodendroglial tumour cells, is rare and six cases have been documented to date. We present a new case of oligodendroglial gliomatosis cerebri with a favourable response to combination treatment using surgery, radiotherapy and chemotherapy. ...
journal_title:British journal of neurosurgery
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abstract::Intracranial penetration during attempted nasogastric intubation is a rare, often lethal occurrence. We report the inadvertent introduction of a nasogastric tube intracranially in a neonate following repair of unilateral choanal atresia. Following manual removal of the tube, the patient made a good recovery. ...
journal_title:British journal of neurosurgery
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更新日期:1999-08-01 00:00:00
abstract::Interstitial brachytherapy for recurrent gliomas normally necessitates the invasive application of a stereotactic frame by screw-fixation which must be kept on for several hours. The use of a relocatable stereotactic frame offers many advantages over conventional systems. We present our experience in 18 patients and v...
journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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doi:10.3109/02688697.2011.638996
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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