The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Transient Repiratory Dysfunction after Percutaneous Cordotomy -A case report-

경피적 척수시상로절단술 후 발생한 호흡부전 -증례 보고-

  • Lee, Jun Seog (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Sinn, Yoo Sik (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Park, Chan Hong (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu)
  • 이준석 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 신유식 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 박찬흥 (대구가톨릭대학교 의과대학 마취통증의학교실)
  • Received : 2005.09.28
  • Accepted : 2005.12.09
  • Published : 2005.12.10
Download PDF
⟨ Previous Next ⟩

Abstract

Percutaneous cordotomy is a useful method for cancer pain management. Candidates for cervical cordotomy include those patients with unilateral cancer pain below the shoulder, with a life expectancy of less than 1 year, who can not be adequately treated by other less invasive methods. However, various complications can occur following a cordotomy, with the most serious being respiratory dysfunction. Herein, we report a case of transient respiratory dysfunction following a percutaneous cervical cordotomy.

Keywords

References

  1. Ischia S, Ischia A, Luzzani A, Toscano D, Steele A: Results up to death in the treatment of persistent cervico-thoracic (Pancoast) and thoracic malignant pain by unilateral percutaneous cervical cordotomy. Pain 1985; 21: 339-55.
  2. Ischia S, Luzzani A, Ischia A, Pacini L: Role of unilateral percutaneous cervical cordotomy in the treatment of neoplastic vertebral pain. Pain 1984; 19: 123-31.
  3. Lahuerta ], Lipton S, Wells ]C: Percutaneous cervical cordotomy: results and complications in a recent series of 100 patients. Ann R Coil Surg Engl 1985; 67: 41-4.
  4. Hogberg T, Rabow L, Rosenberg P, Simonsen E: The use of chordotomy to treat pain from gynecologic cancer. Eur ] Gynaecol Oncol 1989; 10: 337-40.
  5. Mullan S, Harper PV, Hekmatpanah ], Torres H, Dobbin G: Percutaneous interruption of the spinal-pain tracts by means of a srrontium 90 needle. ] Neurosurg 1963; 20: 931-9.
  6. Rosomoff HL, Brown C], Sheptak P: Pecutaneous radiofrequency cervical cordotomy: technique. ] Neurosurg 1965; 23: 639-44.
  7. Yegul 1, Erhan E: Bilateral CT-guided percutaneous cordoromy for cancer pain relief. Clin Radiol 2003; 58: 886-9.
  8. Peet M, Kahn EA, Allen SS: Bilateral cervical cordoromy for relief of pain in chronic infectious arthritis. ]AMA 1933; 100: 488
  9. Hitchcock E, Leece B: Somarotopic representation of the respiratory pathways in the cervical cord of man. ] Neurosurg 1967; 27: 320-9.
  10. Lahuerta ], Buxton P, Lipton S, Bowsher D: The location and function of respiratory fibers in the second cervical spinal cord segment: respiratory dysfunction syndrome after cervical cordotomy. ] Neurol Neurosurg Psychiatry 1992; 55: 1142-5.
  11. Krieger A], Rosomoff HL: Sleep-induced apnea. 2. Respiratory failure after anterior spinal surgery. ] Neurosurg 1974; 40: 181-5.
  12. Tasker RR; Percutaneous cervical cordotomy. Appl Neurophysiol 1976; 39: 114-21.
  13. Mullan S, Hosobuchi Y: Respiratory hazards of high cervical percutaneous cordotomy. ] Neurosurg 1968; 22: 531-8.
  14. Polatty RC, Cooper KR: Respiratory failure after percutaneous cordotomy. South Med] 1986; 79: 897-9.
  15. Ischia S, Luzzani A, Ischia A, Maffezzoli G: Bilateral percutaneous cervical cordotomy: immediate and long-term results in 36 patients with neoplastic disease. ] Neurol Neurosurg Psychiatry 1984; 47: 141-7.
  16. Belmusto L, Brown E, Owens G: Clinical observation on repiratory and vasomotor disturbance as related to cervical cordotomies. ] Neurosurg 1963: 20: 225-32.
  17. Rosomoff HL, Krieger A], Kuperman AS: Effects of percutaneous cervical cordotomy on pulmonary function. ] Neurosurg 1969; 31: 620-2.
  18. Tenicela R, Rosomoff HL, Feist ], Safar P: Pulmonary function following percutaneous cervical cordotomy. Anesthesiology 1968; 29: 7-16.
  19. Krieger A], Rosomoff HL: Sleep-induced apnea. 1. A respiratory and autonomic dysfunction syndrome. following bilateral percutaneous cervical cordotomy. ] Neurosurg 1974; 40: 168-80.
  20. Wells C], Lipton S, Lahuerta J: Respiratory depression after percutaneous cervical anterolateral cordotomy in patients on slow-release oral morphine. Lancet 1984; 31: 739.