Percutaneous Radiofrequency Cervical Cordotomy: Technique

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Figures

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    Percutaneous cordotomy tray:

    18 gauge, thin wall, spinal needle

    19 and 25 gauge skin needles

    2-way stopcock

    procaine glass

    “prep” cup, sponges, and forceps

    5 ml. and 10 ml. syringes

    polyethylene insulated electrode and holder

    coaxial radiofrequency cable

    microscope stages, modified towels

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    Percutaneous cordotomy, needle and electrode in situ.

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    Initial placement of needle: lateral and anteroposterior views.

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    Location of needle after spinal puncture and insertion of air: lateral and anteroposterior views.

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    Final position of electrode: lateral and anteroposterior views.

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    Microphotograph, post-cordotomy, cervical spinal cord, right. Death due to progression of disease.

References

  • 1.

    AronowS. The use of radio-frequency power in making lesions in the brain. J. Neurosurg.196017:431438.Aronow S. The use of radio-frequency power in making lesions in the brain. J. Neurosurg. 1960 17:431–438.

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  • 2.

    MullanS.HarperP. V.HekmatpanahJ.TorresH. and DobbinG. Percutaneous interruption of spinal-pain tracts by means of a strontium needle. J. Neurosurg.196320:931939.Mullan S. Harper P. V. Hekmatpanah J. Torres H. and Dobbin G. Percutaneous interruption of spinal-pain tracts by means of a strontium needle. J. Neurosurg. 1963 20:931–939.

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