{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:16:56Z","timestamp":1787242616022,"version":"build-2736575974"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,9,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Computed tomography (CT)\u2013guided cordotomy has been shown to be a safe and effective method for treating cancer pain in adults in a palliative care setting. Its effectiveness has been rarely reported in children. During cordotomy, patient feedback is considered essential. Unfortunately, in this report, the featured patient\u2019s age and demeanor precluded an awake cordotomy. The authors report the first case, to their knowledge, of percutaneous cordotomy with the patient under general anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>An 11-year-old boy with osteosarcoma of the right pelvis presented with medically refractory unilateral nociceptive pain. The pain prevented ambulation, interfered with sleep, was the focus of his concern, and could not be relieved without sedation. A left percutaneous CT-guided cervical cordotomy while he was under general anesthesia was performed without complication and provided sufficient pain relief to allow ambulation and restorative sleep. Pain was no longer an issue for the patient and his family.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>CT-guided percutaneous cervical cordotomy can be accomplished in a pediatric patient under general anesthesia. The risks of cordotomy under general anesthesia without patient feedback must be weighed against the opportunity to improve palliative care.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/abs\/10.3171\/CASE2427\">https:\/\/thejns.org\/doi\/abs\/10.3171\/CASE2427<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2427","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T02:45:35Z","timestamp":1725245135000},"source":"Crossref","is-referenced-by-count":2,"title":["Cordotomy under general anesthesia for a pediatric palliative patient: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Franziska A","family":"Schmidt","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of British Columbia, British Columbia, Vancouver, Canada"},{"name":"Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle A","family":"Pietramala","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of British Columbia, British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R","family":"Honey","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of British Columbia, British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manraj K. S","family":"Heran","sequence":"additional","affiliation":[{"name":"Division of Neuroradiology, Department of Radiology, University of British Columbia, British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"J Neurosurg Pediatr","first-page":"93","article-title":"Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain","volume":"12","author":"Reddy","year":"2013","unstructured":"Reddy GDOkhuysen-Cawley RHarsh VViswanathan A. Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain. J Neurosurg Pediatr. 2013;12(1):93-96."},{"issue":"3","key":"bib2","series-title":"J Neurosurg Pediatr","first-page":"278","article-title":"Open thoracic anterolateral cordotomy for pain relief in children: report of 2 cases","volume":"20","author":"Steel","year":"2017","unstructured":"Steel DKirkman MAThompson DNPAquilina K. Open thoracic anterolateral cordotomy for pain relief in children: report of 2 cases. J Neurosurg Pediatr. 2017;20(3):278-283."},{"issue":"20","key":"bib3","series-title":"JAMA","first-page":"1489","article-title":"The treatment of persistent pain of organic origin in the lower part of the body by division of the anterolateral column of the spinal cord","volume":"LVIII","author":"Spiller","year":"1912","unstructured":"Spiller WGMartin E. The treatment of persistent pain of organic origin in the lower part of the body by division of the anterolateral column of the spinal cord. JAMA. 1912;LVIII(20):1489-1490."},{"issue":"5","key":"bib4","series-title":"J Neurosurg Spine","first-page":"722","article-title":"Somatotopic organization of the human spinothalamic tract: in vivo computed tomography\u2013guided mapping in awake patients undergoing cordotomy","volume":"30","author":"Honey","year":"2019","unstructured":"Honey CMIvanishvili ZHoney CRHeran MKS. Somatotopic organization of the human spinothalamic tract: in vivo computed tomography\u2013guided mapping in awake patients undergoing cordotomy. J Neurosurg Spine. 2019;30(5):722-728."},{"issue":"4","key":"bib5","series-title":"Br J Neurosurg","first-page":"444","article-title":"Stereotactic mesencephalotomy for palliative care pain control: a case report, literature review and plea to rediscover this operation","volume":"30","author":"Ivanishvili","year":"2016","unstructured":"Ivanishvili ZPujara SHoney CMChang SHoney CR. Stereotactic mesencephalotomy for palliative care pain control: a case report, literature review and plea to rediscover this operation. Br J Neurosurg. 2016;30(4):444-447."},{"key":"bib6","series-title":"J Neurosurg","first-page":"931","article-title":"Percutaneous interruption of spinal-pain tracts by means of a strontium90 needle","volume":"20","author":"Mullan","year":"1963","unstructured":"Mullan SHarper PVHekmatpanah JTorres HDobbin G. Percutaneous interruption of spinal-pain tracts by means of a strontium90 needle. J Neurosurg. 1963;20:931-939."},{"issue":"5","key":"bib7","series-title":"Arch Surg","first-page":"765","article-title":"Cordotomy for pain following cauda equina injury","volume":"92","author":"Porter","year":"1966","unstructured":"Porter RWHohmann GWBors EFrench JD. Cordotomy for pain following cauda equina injury. Arch Surg. 1966;92(5):765-770."},{"issue":"4","key":"bib8","series-title":"Stereotact Funct Neurosurg","first-page":"159","article-title":"Percutaneous computed tomography-guided transdiscal low cervical cordotomy for cancer pain as a method to avoid sleep apnea","volume":"83","author":"Raslan","year":"2005","unstructured":"Raslan AM. Percutaneous computed tomography-guided transdiscal low cervical cordotomy for cancer pain as a method to avoid sleep apnea. Stereotact Funct Neurosurg. 2005;83(4):159-164."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"389","article-title":"Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients","volume":"124","author":"Fonoff","year":"2016","unstructured":"Fonoff ETLopez WOCde Oliveira YSATeixeira MJ. Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients. J Neurosurg. 2016;124(2):389-396."},{"issue":"3","key":"bib10","series-title":"Pain Phys","first-page":"283","article-title":"Cordotomy for intractable cancer pain: a narrative review","volume":"23","author":"Javed","year":"2020","unstructured":"Javed SViswanathan AAbdi S. Cordotomy for intractable cancer pain: a narrative review. Pain Phys. 2020;23(3):283-292."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"226","article-title":"Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain","volume":"62","author":"Raslan","year":"2008","unstructured":"Raslan AM. Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain. Neurosurgery. 2008;62(3suppl 1):226-234."},{"issue":"6","key":"bib12","series-title":"J Clin Oncol","first-page":"1509","article-title":"Safety of unilateral and bilateral percutaneous cervical cordotomy in 80 terminally ill cancer patients","volume":"13","author":"Sanders","year":"1995","unstructured":"Sanders MZuurmond W. Safety of unilateral and bilateral percutaneous cervical cordotomy in 80 terminally ill cancer patients. J Clin Oncol. 1995;13(6):1509-1512."},{"issue":"1","key":"bib1","series-title":"J Neurosurg Pediatr","first-page":"93","article-title":"Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain","volume":"12","author":"Reddy","year":"2013","unstructured":"Reddy GDOkhuysen-Cawley RHarsh VViswanathan A. Percutaneous CT-guided cordotomy for the treatment of pediatric cancer pain. J Neurosurg Pediatr. 2013;12(1):93-96."},{"issue":"3","key":"bib2","series-title":"J Neurosurg Pediatr","first-page":"278","article-title":"Open thoracic anterolateral cordotomy for pain relief in children: report of 2 cases","volume":"20","author":"Steel","year":"2017","unstructured":"Steel DKirkman MAThompson DNPAquilina K. Open thoracic anterolateral cordotomy for pain relief in children: report of 2 cases. J Neurosurg Pediatr. 2017;20(3):278-283."},{"issue":"20","key":"bib3","series-title":"JAMA","first-page":"1489","article-title":"The treatment of persistent pain of organic origin in the lower part of the body by division of the anterolateral column of the spinal cord","volume":"LVIII","author":"Spiller","year":"1912","unstructured":"Spiller WGMartin E. The treatment of persistent pain of organic origin in the lower part of the body by division of the anterolateral column of the spinal cord. JAMA. 1912;LVIII(20):1489-1490."},{"issue":"5","key":"bib4","series-title":"J Neurosurg Spine","first-page":"722","article-title":"Somatotopic organization of the human spinothalamic tract: in vivo computed tomography\u2013guided mapping in awake patients undergoing cordotomy","volume":"30","author":"Honey","year":"2019","unstructured":"Honey CMIvanishvili ZHoney CRHeran MKS. Somatotopic organization of the human spinothalamic tract: in vivo computed tomography\u2013guided mapping in awake patients undergoing cordotomy. J Neurosurg Spine. 2019;30(5):722-728."},{"issue":"4","key":"bib5","series-title":"Br J Neurosurg","first-page":"444","article-title":"Stereotactic mesencephalotomy for palliative care pain control: a case report, literature review and plea to rediscover this operation","volume":"30","author":"Ivanishvili","year":"2016","unstructured":"Ivanishvili ZPujara SHoney CMChang SHoney CR. Stereotactic mesencephalotomy for palliative care pain control: a case report, literature review and plea to rediscover this operation. Br J Neurosurg. 2016;30(4):444-447."},{"key":"bib6","series-title":"J Neurosurg","first-page":"931","article-title":"Percutaneous interruption of spinal-pain tracts by means of a strontium90 needle","volume":"20","author":"Mullan","year":"1963","unstructured":"Mullan SHarper PVHekmatpanah JTorres HDobbin G. Percutaneous interruption of spinal-pain tracts by means of a strontium90 needle. J Neurosurg. 1963;20:931-939."},{"issue":"5","key":"bib7","series-title":"Arch Surg","first-page":"765","article-title":"Cordotomy for pain following cauda equina injury","volume":"92","author":"Porter","year":"1966","unstructured":"Porter RWHohmann GWBors EFrench JD. Cordotomy for pain following cauda equina injury. Arch Surg. 1966;92(5):765-770."},{"issue":"4","key":"bib8","series-title":"Stereotact Funct Neurosurg","first-page":"159","article-title":"Percutaneous computed tomography-guided transdiscal low cervical cordotomy for cancer pain as a method to avoid sleep apnea","volume":"83","author":"Raslan","year":"2005","unstructured":"Raslan AM. Percutaneous computed tomography-guided transdiscal low cervical cordotomy for cancer pain as a method to avoid sleep apnea. Stereotact Funct Neurosurg. 2005;83(4):159-164."},{"issue":"2","key":"bib9","series-title":"J Neurosurg","first-page":"389","article-title":"Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients","volume":"124","author":"Fonoff","year":"2016","unstructured":"Fonoff ETLopez WOCde Oliveira YSATeixeira MJ. Microendoscopy-guided percutaneous cordotomy for intractable pain: case series of 24 patients. J Neurosurg. 2016;124(2):389-396."},{"issue":"3","key":"bib10","series-title":"Pain Phys","first-page":"283","article-title":"Cordotomy for intractable cancer pain: a narrative review","volume":"23","author":"Javed","year":"2020","unstructured":"Javed SViswanathan AAbdi S. Cordotomy for intractable cancer pain: a narrative review. Pain Phys. 2020;23(3):283-292."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"226","article-title":"Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain","volume":"62","author":"Raslan","year":"2008","unstructured":"Raslan AM. Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain. Neurosurgery. 2008;62(3suppl 1):226-234."},{"issue":"6","key":"bib12","series-title":"J Clin Oncol","first-page":"1509","article-title":"Safety of unilateral and bilateral percutaneous cervical cordotomy in 80 terminally ill cancer patients","volume":"13","author":"Sanders","year":"1995","unstructured":"Sanders MZuurmond W. Safety of unilateral and bilateral percutaneous cervical cordotomy in 80 terminally ill cancer patients. J Clin Oncol. 1995;13(6):1509-1512."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/10\/article-CASE2427.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/10\/article-CASE2427.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/10\/article-CASE2427.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:52:19Z","timestamp":1769687539000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/10\/article-CASE2427.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,2]]},"references-count":24,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.3171\/case2427","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,2]]}}}