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June 1961

Selective Anterolateral Chordotomy for Upper Extremity Pain

Author Affiliations

Division of Neurosurgery, Department of Surgery, University of Graz (Head: Prof. Dr. F. Spath).

Arch Neurol. 1961;4(6):660-662. doi:10.1001/archneur.1961.00450120074008

This report is concerned with the challenging task of relieving intolerable pain in the right upper extremity of a young man 20 years of age. It allows for certain conclusions of a clinical nature about the somatotopic localization within the spinothalamic and spinotectal tracts. This accentuates the need for exquisite observation on the site and manner of incision in chordotomy, and of histological control whenever this becomes possible. This case demonstrates that it is possible to limit the sensory deprivation from anterolateral chordotomy to the armshoulder region.

A young man of 20 was in a highway accident on Aug. 9, 1959. He sustained a concussion, renal contusion, and tearing of the right brachial plexus. Whereas the first two injuries were of no dire consequences, the third resulted in complete, permanent, and grave disability, and in more and more discomfort as time progressed. Immediately after the injury, there was flaccid paralysis

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