Stereotactic mesencephalotomy for pain relief: A plea for stereotactic surgery

Keiichi Amano, Hirotsune Kawamura, Tatsuya Tanikawa, Hiroko Kawabatake, Hiroshi Iseki, Takaomi Taira

    研究成果: Article

    11 引用 (Scopus)

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    Rostral mesencephalic reticulotomy (RMR) for pain relief was performed in 34 patients with int ractable pain. Most of these patients have been followed for a long period of time postoperatively, the longest follow-up period being 11 years. Contrary to the commonly prevailed bias in the past that mesencephalotomy may be a surgical intervention with potential risk, these patients of RMR have continued to substantial improvement postoperatively in terms of their preoperative intractable painful dysesthesia after a long period of time. The results of pain relief for denervation pain as well as for nondenervation pain are surprisingly good even after unilateral procedures. There was no operative mortality. Postoperative disturbance of ocular motility has been reduced. RMR has its scientific basis in that the medial part of the reticular formation rather than the classical lateral spinothalamic tract has more significance in the central conduction of nociceptive impulses through the midbrain level, which was verified by intraoperative neuronal recording with a tungsten microelectrode. The present report emphasizes that stereotactic mesencephalotomy, if performed meticulously and precisely, is a safe surgical procedure for pain relief. Results of MRI and sensory manifestations of a patient 11 years after RMR are also presented.

    元の言語English
    ページ(範囲)25-32
    ページ数8
    ジャーナルStereotactic and Functional Neurosurgery
    59
    発行部数1-4
    DOI
    出版物ステータスPublished - 1992 1 1

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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    Amano, K., Kawamura, H., Tanikawa, T., Kawabatake, H., Iseki, H., & Taira, T. (1992). Stereotactic mesencephalotomy for pain relief: A plea for stereotactic surgery. Stereotactic and Functional Neurosurgery, 59(1-4), 25-32. https://doi.org/10.1159/000098913