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Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months
Incoercible or intractable pain is defined as pain that is refractory to pharmacological treatment to such an extent that opioid and analgesic adverse effects outweigh the therapeutic effects. The anterior cingulate cortex (ACC) is involved in the perception of pain, especially emotional pain, so it...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573053/ https://www.ncbi.nlm.nih.gov/pubmed/37830644 http://dx.doi.org/10.3390/healthcare11192607 |
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author | Castillo Rangel, Carlos Marin, Gerardo Diaz Chiguer, Dylan Lucia Villegas López, Francisco Alberto Ramírez-Rodríguez, Rodrigo Gómez Ibarra, Alejandro Aguilar-Velazquez, Rosalba Soto Abraham, Julian Eduardo |
author_facet | Castillo Rangel, Carlos Marin, Gerardo Diaz Chiguer, Dylan Lucia Villegas López, Francisco Alberto Ramírez-Rodríguez, Rodrigo Gómez Ibarra, Alejandro Aguilar-Velazquez, Rosalba Soto Abraham, Julian Eduardo |
author_sort | Castillo Rangel, Carlos |
collection | PubMed |
description | Incoercible or intractable pain is defined as pain that is refractory to pharmacological treatment to such an extent that opioid and analgesic adverse effects outweigh the therapeutic effects. The anterior cingulate cortex (ACC) is involved in the perception of pain, especially emotional pain, so it is logical that cingulotomy has an effective therapeutic effect. Therefore, we evaluated the effectiveness of cingulotomy for the treatment of incoercible pain. An observational, longitudinal, retrospective, and analytical study was carried out on a series of cases in which bilateral cingulotomy was performed for incoercible pain, and follow-up was performed 6 months after neurosurgery in the outpatient clinic at the Neurotraumatology Clinic. A positive correlation was observed between pain intensity and medication use, indicating that an increase in pain was associated with a greater requirement for analgesics. The result was a significant reduction in pain, as measured by the visual analog scale of pain, and decreased drug use after cingulotomy. We concluded that cingulotomy reduces incoercible pain and the need for medication. |
format | Online Article Text |
id | pubmed-10573053 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105730532023-10-14 Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months Castillo Rangel, Carlos Marin, Gerardo Diaz Chiguer, Dylan Lucia Villegas López, Francisco Alberto Ramírez-Rodríguez, Rodrigo Gómez Ibarra, Alejandro Aguilar-Velazquez, Rosalba Soto Abraham, Julian Eduardo Healthcare (Basel) Case Report Incoercible or intractable pain is defined as pain that is refractory to pharmacological treatment to such an extent that opioid and analgesic adverse effects outweigh the therapeutic effects. The anterior cingulate cortex (ACC) is involved in the perception of pain, especially emotional pain, so it is logical that cingulotomy has an effective therapeutic effect. Therefore, we evaluated the effectiveness of cingulotomy for the treatment of incoercible pain. An observational, longitudinal, retrospective, and analytical study was carried out on a series of cases in which bilateral cingulotomy was performed for incoercible pain, and follow-up was performed 6 months after neurosurgery in the outpatient clinic at the Neurotraumatology Clinic. A positive correlation was observed between pain intensity and medication use, indicating that an increase in pain was associated with a greater requirement for analgesics. The result was a significant reduction in pain, as measured by the visual analog scale of pain, and decreased drug use after cingulotomy. We concluded that cingulotomy reduces incoercible pain and the need for medication. MDPI 2023-09-22 /pmc/articles/PMC10573053/ /pubmed/37830644 http://dx.doi.org/10.3390/healthcare11192607 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Castillo Rangel, Carlos Marin, Gerardo Diaz Chiguer, Dylan Lucia Villegas López, Francisco Alberto Ramírez-Rodríguez, Rodrigo Gómez Ibarra, Alejandro Aguilar-Velazquez, Rosalba Soto Abraham, Julian Eduardo Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title | Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title_full | Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title_fullStr | Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title_full_unstemmed | Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title_short | Radiofrequency Cingulotomy as a Treatment for Incoercible Pain: Follow-Up for 6 Months |
title_sort | radiofrequency cingulotomy as a treatment for incoercible pain: follow-up for 6 months |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573053/ https://www.ncbi.nlm.nih.gov/pubmed/37830644 http://dx.doi.org/10.3390/healthcare11192607 |
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