Neurosurgical and Medical Management of Pain: Trigeminal Neuralgia, Chronic Pain, and Cancer Pain

1. Front Matter

   Pages i-xiii

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2. Introduction

   1. Introduction

      • Ronald Brisman

      Pages 1-2

3. Basic Science of Pain

   1. Front Matter

      Pages 3-3

      PDF

   2. Neuroanatomical, Neurophysiological, and Neurochemical Basis of Pain

      • Robert R. Goodman

      Pages 5-22

4. Trigeminal Neuralgia

   1. Front Matter

      Pages 23-23

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   2. Trigeminal Neuralgia and Other Facial Pains: Diagnosis, Natural History, and Nonsurgical Treatment

      • Ronald Brisman

      Pages 25-33

   3. Overview of Neurosurgical Treatment of Facial Neuralgias

      • Ronald Brisman

      Pages 35-39

   4. Treatment of Trigeminal Neuralgia by Radiofrequency Electrocoagulation

      • Ronald Brisman

      Pages 41-49

   5. Retrogasserian Glycerol Injection with or without Radiofrequency Electrocoagulation for Trigeminal Neuralgia

      • Ronald Brisman

      Pages 51-56

   6. Suboccipital Craniectomy and Treatment of Trigeminal Neuralgia

      • Ronald Brisman

      Pages 57-63

   7. Trigeminal Neuralgia and Brain Tumors

      • Ronald Brisman

      Pages 65-70

   8. Bilateral Trigeminal Neuralgia

      • Ronald Brisman

      Pages 71-76

   9. Trigeminal Neuralgia and Multiple Sclerosis

      • Ronald Brisman

      Pages 77-81

   10. Neuralgia of the Seventh, Ninth and Tenth Nerves

       • Ronald Brisman

       Pages 83-90

5. Chronic Benign Pain

   1. Front Matter

      Pages 91-91

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   2. Anesthesiologic Management of Chronic Benign Pain

      • Howard L. Rosner

      Pages 93-104

   3. Psychiatric Management of Chronic Benign Pain

      • Ralph N. Wharton

      Pages 105-111

   4. Physiatric Management of Chronic Benign Pain

      • Stanley J. Myers

      Pages 113-124

   5. Neurosurgical Aspects of Chronic Pain

      • Ronald Brisman

      Pages 125-126

   6. Spinal Cord Stimulation for Relief of Chronic Pain

      • Ronald Brisman

      Pages 127-133

Ronald Brisman, M.D. This book will discuss three areas where the The multiplicity of procedures with varying neurosurgeon may provide an important degrees of risks and benefits sometimes re­ contribution to the relief of intractable pain: quires a sequential approach, but always an trigeminal and other facial neuralgias, chronic individual one, matching an appropriate treat­ noncancer pain, and cancer pain. By one ment plan or procedure for a particular patient intervention, the neurosurgeon often may pro­ at a specific time in his or her illness. vide long-lasting pain relief. New techniques, The neurosurgical chapters in this book which have developed since the 1970s and represent my experience with several hundred continue to evolve, dominate the neurosur­ patients during a 12-year period from 1975 gical armamentarium because they are not only through 1987. I have relied heavily on the effective, but safe. These include percutaneous works of others, which have been quoted from radio frequency electrocoagulation for trigem­ the neurosurgical literature, but this book is inal neuralgia, spinal stimulation for chronic not meant to be encyclopedic. noncancer pain, and intraspinal morphine in­ At least as important as knowing when to fusion for cancer pain. operate is knowing when not to do so, and this Sometimes a procedure relieves pain but the is particularly true of the treatment of pain. pain recurs; it may be necessary to repeat the Most patients with pain do not require neuro­ procedure, which in the case of radiofrequency surgical intervention.

• brain
• brain tumor
• diagnosis
• intervention
• multiple sclerosis
• pain
• spinal cord

• College of Physicians and Surgeons, Columbia Presbyterian Medical Center, Columbia University, New York, USA

  Ronald Brisman

Policies and ethics