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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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