雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

TREATMENT OF INTRACTABLE PAIN BY FRONTAL CRYOCINGULUMOTOMY Heitaro MOGAMI 1 , Keizo MATSUMOTO 1 , Kiyoo KAMIKAWA 1 , Kentaro KOSHINO 1 , Susumu NAKATANI 1 12nd Dept. of Surgery, School of Med, Univ. of Osaka pp.449-453
Published Date 1965/5/1
DOI https://doi.org/10.11477/mf.1406201840
  • Abstract
  • Look Inside

Relief of intractable pain is one of the most diffi-cult problems for clinicians to resolve. Drug therapy and destructive operations of pain-conducting path-ways of the peripheral or central nervous system are not yet satisfied.

According to E. L. Foltz and L. E. White, transec-tion of the cingulum or cingulumotomy is of benefit in those clinical cases of intractable pain in which marked emotional factors apper to contribute to the intolerable situation.

In their project, we have stereotaxically tried frontal cingulumotomy by cooling destruction in five cases suffering from intractable pain and incurable diseases. We named this method of destruction cryo-cingulumotomy after the cryosurgery equipment which was devised by I. S. Cooper.

In standpoint of clinical view, excellent result was obtained in three, good in one and fair in one. His-toanatomical verification was done postmortem in four out of five. It revealed that proper bilateral cryocingulumotomy seemed to be successful in relief of the pain in these cases in comparison with the unilateral procedure. We can emphasize this cryo-cingulumotomy is simple and safe, and does not leave any neurological disturbances. In this point we might think our cryocingulumotomy should be first of all attempted to the patients who are suffering from incurable diseases and excruciating pain.


Copyright © 1965, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

関連文献

もっと見る

文献を共有