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- Title
Stereotactic Mesencephalotomy for Pain Relief.
- Authors
Amano, Keiichi; Kawamura, Hirotsune; Tanikawa, Tatsuya; Kawabatake, Hiroko; Iseki, Hiroshi; Taira, Takaomi
- Abstract
Rostral mesencephalic reticulotomy (RMR) for pain relief was performed in 34 patients with intractable pain. Most of these patients have been followed for a long period of time postoperatively, the longest follow-up period being 11 years. Con-trary to the commonly prevailed bias in the past that mesencephalotomy may be a sur-gical Intervention with potential risk, these patients of RMR have continued to sub-stantial 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 proce-dures. 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 pre-sent 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. Copyright © 1992 S. Karger AG, Basel
- Publication
Stereotactic & Functional Neurosurgery, 1992, Vol 59, Issue 1-4, p25
- ISSN
1011-6125
- Publication type
Article
- DOI
10.1159/000098913