核磁共振引导激光间质热治疗中脑切开术治疗难治性恶性疼痛

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-02 DOI:10.1007/s00701-025-06544-1

Mickael Aubignat, Jean-Marc Constans, Martial Ouendo, Jean-Philippe Arnault, Claire Josse, Christine Desenclos, Michel Lefranc

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引用次数: 0

摘要

立体定向中脑切开术是一种神经外科技术，旨在切断医学上难治性疼痛的脊髓丘脑疼痛传递途径。本报告报告了第一例磁共振引导激光间质热疗法（MRgLITT）中脑切开术治疗转移性黑色素瘤引起的严重恶性疼痛。该手术显著减轻了患者的疼痛，术后视觉模拟评分（VAS）从7分降至3分。未观察到不良反应。该病例强调了MRgLITT中脑切开术作为姑息治疗环境中疼痛管理的精确、微创选择的潜力。

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MR-guided Laser Interstitial Thermal Therapy mesencephalotomy for medically intractable malignant pain

Stereotactic mesencephalotomy is a neurosurgical technique designed to sever spinothalamic pain transmission pathways for medically intractable pain. This report presents the first case of Magnetic Resonance-guided Laser Interstitial Thermal Therapy (MRgLITT) mesencephalotomy for severe malignant pain due to metastatic melanoma. The procedure significantly reduced the patient’s pain, with a postoperative visual analog scale (VAS) score decreasing from > 7 to < 3. No adverse effects were observed. The case underscores the potential of MRgLITT mesencephalotomy as a precise, minimally invasive option for pain management in palliative care settings.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.