The Experts below are selected from a list of 168 Experts worldwide ranked by ideXlab platform

Y Kanpolat - One of the best experts on this subject based on the ideXlab platform.

  • CT-guided percutaneous cordotomy for Intractable Pain in what is more than a disease: lung malignancies.
    Turkish Neurosurgery, 2012
    Co-Authors: Y Kanpolat, Mevci Ozdemir, Eyyub S. M. Al-beyati
    Abstract:

    AIM Lung cancer is the leading cause of cancer-related mortality worldwide. Pain is a common problem in these patients, yet inadequate or dissatisfactory management is prevalent. MATERIAL AND METHODS Between 1987 and 2012, 224 patients with Intractable Pain were treated with computerized tomography (CT)- guided cordotomy. Among them, 210 had Intractable Pain due to malignancies. The majority of the cases were diagnosed as pulmonary malignancies (108 patients). Sixty-seven were pulmonary carcinoma, 26 mesothelioma and 15 Pancoast tumors. RESULTS After cordotomy, 98.13% of cancer patients reported initial Pain relief. Minimum and maximum preoperative scores of the Karnofsky Performance Scale were 20 and 70, versus postoperative scores of 40 and 90 (p < 0.001). The median preoperative VAS score was 8 (6-9). On the first postoperative day, the score dropped sharply to 0 (0-8) (p < 0.001). In this selected series of 108 percutaneous cordotomy procedures, as well as in the total series of 224 patients, there was no mortality or major morbidity. CONCLUSION CT-guided percutaneous cordotomy is an effective procedure that should be used in the treatment of cancer-related Pain problems. We suggest that cordotomy should be preferred as soon as possible in patients who fail to respond to the classic analgesic therapy.

  • Computed Tomography-guided Percutaneous Cordotomy for Intractable Pain in Malignancy
    Operative Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Abstract Objective: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. Methods: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1–C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients” Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. Results: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. Conclusion: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • Computed tomography-guided percutaneous cordotomy for Intractable Pain in malignancy.
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS CORDOTOMY FOR Intractable Pain IN MALIGNANCY. Commentary
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan, Oren Sagher, Marc Sindou, Donlin M. Long, Nicholas M. Boulis, Richard K. Osenbach
    Abstract:

    OBJECTIVE: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. METHODS: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. RESULTS: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. CONCLUSION: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • ct guided percutaneous selective cordotomy for treatment of Intractable Pain in patients with malignant pleural mesothelioma
    Acta Neurochirurgica, 2002
    Co-Authors: Y Kanpolat, Ali Savas, Tanju Ucar, F Torun
    Abstract:

    Malignant mesotheliomas are neoplasms that arise from mesothelial cells and cause Intractable Pain in the chest wall, usually located unilaterally. This local Pain can be well controlled by computerized tomography (CT)-guided percutaneous cordotomy (PC). One hundred and fifty-three patients suffering from Intractable Pain due to malignancy were treated with CT-guided cordotomy between 1988 and 2001. Seventy of the 153 patients had pulmonary malignancy. Among these, 40 had bronchogenic carcinoma, 11 had Pancoast tumors and the remaining 19 had mesothelioma. The latter 19 cases with malignant mesothelioma suffering from unilateral Pain were treated with CT-guided PC. In 18 cases, Pain was controlled totally and, in one, partial Pain control was obtained. Selective Pain control was obtained in 15 cases, in whom narcotic drugs were discontinued postoperatively. Post-cordotomy dysesthesia was noted in only one case, and no complication or mortality was observed. In the treatment of Intractable Pain, CT-guided cordotomy is a perfect method in selected cases with malignancy. This is the most effective and suitable treatment modality for local Pain due to malignant mesothelioma.

Atilla Halil Elhan - One of the best experts on this subject based on the ideXlab platform.

  • Computed Tomography-guided Percutaneous Cordotomy for Intractable Pain in Malignancy
    Operative Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Abstract Objective: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. Methods: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1–C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients” Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. Results: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. Conclusion: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • Computed tomography-guided percutaneous cordotomy for Intractable Pain in malignancy.
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS CORDOTOMY FOR Intractable Pain IN MALIGNANCY. Commentary
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan, Oren Sagher, Marc Sindou, Donlin M. Long, Nicholas M. Boulis, Richard K. Osenbach
    Abstract:

    OBJECTIVE: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. METHODS: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. RESULTS: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. CONCLUSION: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

Hasan Caglar Ugur - One of the best experts on this subject based on the ideXlab platform.

  • Computed Tomography-guided Percutaneous Cordotomy for Intractable Pain in Malignancy
    Operative Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Abstract Objective: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. Methods: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1–C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients” Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. Results: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. Conclusion: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • Computed tomography-guided percutaneous cordotomy for Intractable Pain in malignancy.
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS CORDOTOMY FOR Intractable Pain IN MALIGNANCY. Commentary
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan, Oren Sagher, Marc Sindou, Donlin M. Long, Nicholas M. Boulis, Richard K. Osenbach
    Abstract:

    OBJECTIVE: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. METHODS: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. RESULTS: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. CONCLUSION: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

Murat Ayten - One of the best experts on this subject based on the ideXlab platform.

  • Computed Tomography-guided Percutaneous Cordotomy for Intractable Pain in Malignancy
    Operative Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Abstract Objective: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. Methods: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1–C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients” Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. Results: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. Conclusion: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • Computed tomography-guided percutaneous cordotomy for Intractable Pain in malignancy.
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan
    Abstract:

    Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

  • COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS CORDOTOMY FOR Intractable Pain IN MALIGNANCY. Commentary
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan, Oren Sagher, Marc Sindou, Donlin M. Long, Nicholas M. Boulis, Richard K. Osenbach
    Abstract:

    OBJECTIVE: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. METHODS: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. RESULTS: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. CONCLUSION: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.

Richard K. Osenbach - One of the best experts on this subject based on the ideXlab platform.

  • COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS CORDOTOMY FOR Intractable Pain IN MALIGNANCY. Commentary
    Neurosurgery, 2009
    Co-Authors: Y Kanpolat, Hasan Caglar Ugur, Murat Ayten, Atilla Halil Elhan, Oren Sagher, Marc Sindou, Donlin M. Long, Nicholas M. Boulis, Richard K. Osenbach
    Abstract:

    OBJECTIVE: Pain, usually a response to tissue damage, is accepted as an unpleasant feeling generating a desire to escape from the causative stimulus. Although, in the early stages of malignant diseases, Pain is seen in 5% to 10% of cases, this rate reaches nearly 90% in the terminal stage, and Pain becomes a primary symptom. Cordotomy is one of the treatment choices in Pain caused by malignancies localized unilaterally to the extremities as well as the thorax and the abdomen. METHODS: The target of computed tomography (CT)-guided percutaneous cordotomy is the lateral spinothalamic tract located in the anterolateral region of the spinal cord at the C1-C2 level. Between 1987 and 2007, CT-guided percutaneous cordotomies were performed in 207 patients; most (193 patients) suffered from Intractable Pain related to malignancy. The patients' Pain scores and Karnofsky Performance Scale scores were evaluated pre- and postoperatively. RESULTS: The initial success rate of CT-guided percutaneous cordotomy was 92.5%. The success rate was higher in the malignancy group. In the cancer group, selective cordotomy (Pain sensation denervated only in the Painful region of the body) was achieved in 83%. In 12 cases, bilateral selective percutaneous cordotomy was successfully applied. CONCLUSION: In the treatment of Intractable Pain, CT-guided cordotomy is an option in specially selected cases with malignancy. In this study, anatomic and technical details of the procedure and the experience gained from treating 207 patients over a 20-year period are discussed.