Percutaneous Interruption of Spinal-Pain Tracts by Means of a Strontium90 Needle

Mullan, Sean; Harper, Paul V.; Hekmatpanah, Javad; Torres, Harrys A.; Dobbin, G

doi:10.3171/jns.1963.20.11.0931

Cited by 197 publications

(55 citation statements)

References 2 publications

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“…Mullan et al [17] introduced percutaneous cervical cordotomy with strontium-90 beta radiation necrosis in 1963. The technique was further refined by Rosomoff et al [3] with the introduction of radiofrequency thermal ablation.…”

Section: Discussionmentioning

confidence: 99%

Four-Decade Maintenance of Analgesia with Percutaneous Cordotomy

Collins¹,

Taren²,

Patil³

2012

Stereotact Funct Neurosurg

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The management of severe, medically intractable pain is a significant challenge for neurosurgeons and pain management physicians. An existing technique that can effectively alleviate contralateral chronic pain is cordotomy, interruption of the lateral spinothalamic tract of the spinal cord. Since 1912, cordotomy has evolved from a relatively morbid open surgical procedure to a percutaneous radiofrequency procedure with low morbidity. However, since cordotomy is utilized primarily in cancer pain patients, long-term patient follow-up is rare, and the potential duration of analgesia following cordotomy is not known. Here we describe a case with a 41-year follow-up of percutaneous cordotomy for noncancer pain that resulted in over 35 years of complete analgesia, the longest recorded in the literature to date. This case demonstrates that percutaneous cordotomy can provide long-lasting, complete analgesia in some patients and merits continuation as a part of the neurosurgical arsenal of pain therapies.

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Section: Discussionmentioning

confidence: 99%

Four-Decade Maintenance of Analgesia with Percutaneous Cordotomy

Collins¹,

Taren²,

Patil³

2012

Stereotact Funct Neurosurg

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“…3,4,6 In parallel work with colleagues at the University of Chicago's federally funded Argonne Cancer Research Hospital, he devised and tested a series of surgical approaches to treat cancers of the head, neck, and spine by inserting radioactive coils, wires, or needles directly into or around a tumor, a technique he later applied to create precise lesions in spinal tracts for pain management. 13 He was also a leader in developing and popularizing the transoral approach for surgical problems located at the base of the skull, 15 and he reported results of thalamic lesioning as a treatment for epilepsy in humans. 19 He used statistical tools to predict outcome after craniocerebral injuries, 2 an approach ushering in widely used grading and risk stratification in neurosurgery.…”

Section: Relentless Innovations and Impactmentioning

confidence: 99%

Obituary: John F. Mullan, MD, 1925–2015: neurosurgery's modern statesman

Awad¹,

Hekmatpanah²,

Frim³

2016

JNS

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“…The study demostrated that eventually the observed eletric shock may be provoked by the touch of the needle in the spinal cord or any rootlet during lateral approach in the cervical segments C 1 and C 2 . But no case of permanent lesion [30], but a few cases of transitory paresia due to the contact of the needle in the medulla [31].…”

Section: Cervical and Thoracic Myelographymentioning

confidence: 99%

Thoracic Spinal Anesthesia

2016

JACCOA

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In 1909 Thomas Jonnesco published his interesting paper under the title General spinal anesthesia through an approach of the subarachnoid space at a thoracic level, providing condition for surgery on the skull, head, neck and thorax. Etherington-Wilson proposed explaining the various possibilities for the spinal anesthesia. Leonardo da Vinci was considered the discoverer of Human and animal Anatomy. Image techniques have opened a gret new field for the study of anatomy in the living man. The modern means of image, associated to computed means have facilitated the evaluation of the CSF volume, through antero-posterior and height measures of the subarachnoid space based on bi-dimentional studies of MRI. The studies of the thoracic column with MRI show that exist a space between the dura-mater and the spinal cord (medula). Thoracic ouncture performed with needles proved safe and without neurological injury. Thoracic spinal anesthesia is a viable procedure, with a low incidence of hypotension and did not present any neurologic problem.

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Percutaneous Interruption of Spinal-Pain Tracts by Means of a Strontium90 Needle

Cited by 197 publications

References 2 publications

Four-Decade Maintenance of Analgesia with Percutaneous Cordotomy

Four-Decade Maintenance of Analgesia with Percutaneous Cordotomy

Obituary: John F. Mullan, MD, 1925–2015: neurosurgery's modern statesman

Thoracic Spinal Anesthesia

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