Urgent surgical intervention, involving targeted laminectomy and myelotomy
, followed by long term antibiotic therapy are the standard of care in limiting neurologic sequelae and improving overall functional status.
After opening the dura and making a subsequent midline myelotomy
, a highly vascularised intramedullary mass was exposed.
DREZ lesioning, myelotomy, tractotomy, cingulotomy, or thalamotomy, in the hope of removing the short-circuited, dysfunctional pain-generating nerves from the normal neural system, or interrupting the feedback pathway to the brain.
13,14] More central, destructive procedures such as cordotomy and midline myelotomy of the spinal cord are reserved for patients in whom sensory loss is already present (e.
after taking informed consent, in prone position followed by Laminectomy, durotomy, myelotomy
, microsurgical resection of tumour, and closure of wound.
Effect of vasodilators and myelotomy
on recovery after acute spinal cord injury in rats.
Percutaneous stereotactic pain procedure s:percutaneous cordotomy, extralemniscal myelotomy
, trigeminal tractotomy-nucleotomy.
Techniques for destroying nerves, such as neurectomy, rhizotomy, and myelotomy
, can also be used to control hypertonicity, but these are typically reserved for the most recalcitrant cases (Smyth & Peacock, 2000).
An invasive spasticity treatment option is lumbar myelotomy
, a surgical procedure in which a cut is made in the spinal cord to disconnect reflex pathways.
This midline myelotomy
better alleviates pain plaguing both sides of the body, but it's "basically filleting the cord, cutting it down the middle several inches," Nauta says.
was performed and frank pus was identified.
The neurosurgeon exposes the cord's injury site with a laminectomy and then myelotomy
(cutting open the cord's membrane coverings).