Cordotomy Anterolateral

Cordotomy Anterolateral: a review of the treatment method for intractable pain

Anterolateral cordotomy is a neurosurgical procedure in which the anterior and lateral spinothalamic bundles are intersected, performed for intractable pain in the trunk and (or) limbs. This pain treatment method may be considered when other methods, such as pharmacotherapy and physical therapy, are not effective.

Anterolateral cordotomy is performed to block the nerve signals transmitted along the spinal cord associated with the sensation of pain. In this case, the motor pathways are not affected, and the patient retains his motor functions. Instead, signals associated with the sensation of pain are blocked.

The anterolateral cordotomy procedure is performed in the operating room under local anesthesia or general anesthesia. The surgeon makes a small incision in the patient's skin and inserts an electrode into the spinal cord. Using this electrode, the surgeon then finds the point on the spinal cord where the anterior and lateral spinothalamic fascicles intersect. An electrode is used to create heat, which destroys the nerve tissue responsible for transmitting pain signals.

After the procedure, the patient may experience some pain and discomfort in the incision area. But overall, the pain should become less intense and the frequency of its occurrence should decrease. Many patients who undergo anterolateral cordotomy report significant improvements in quality of life and the ability to return to normal activities.

Like any medical procedure, anterolateral cordotomy is not without risks and complications. These may include infections, bleeding, spinal cord injuries and other complications. Therefore, before deciding to undergo this procedure, the patient should discuss all possible risks and side effects with their doctor.

In general, anterolateral cordotomy is an effective treatment for intractable pain in the trunk and/or extremities. However, like any other treatment method, it must be considered on an individual basis, taking into account the characteristics of the disease and the general condition of the patient.

Description of the procedure Chordotoma anterolateral H. with anterior and lateral spinal circling occurs with an intervertebral disc that does not show pain - sacral and fibular. This is achieved by shortening the motor pathway between the periphery and the hemispheres of the frontal and temporal lobes related to the central sensory object.

Preparatory steps - pain management before intubation includes: first, thimeroline administration, including blood sampling, skin peeling, intranasal anesthetics, tooth extraction, airway isolation, blood pressure and ECG monitoring, and medical measures to rule out pneumonia