PT  - JOURNAL ARTICLE
AU  - McMorrow, Fintan
AU  - Owen, Margaret
TI  - Percutaneous cervical cordotomy for chest wall pain from mesothelioma in the setting of neuromyelitis
AID  - 10.1136/bmjspcare-2021-003274
DP  - 2023 Nov 01
TA  - BMJ Supportive & Palliative Care
PG  - e313--e314
VI  - 13
IP  - e2
4099  - http://spcare.bmj.com/content/13/e2/e313.short
4100  - http://spcare.bmj.com/content/13/e2/e313.full
SO  - BMJ Support Palliat Care2023 Nov 01; 13
AB  - A 75-year-old man presented to our Interventional Cancer Pain service for consideration of a percutaneous cervical cordotomy (PCC) to control severe chest wall pain secondary to malignant mesothelioma. His medical history included a neuroinflammatory disorder, neuromyelitis optica, for which he had previously had a prolonged hospital admission, with ongoing neurological deficit. Little information is available regarding the safety of PCC in a patient with this condition, specifically the risk of neurological relapse, and we were initially wary about going ahead. After discussion with the patient’s neurology team and other UK experts and with the patient’s informed consent, we proceeded to PCC with additional steroid cover. No adverse neurological symptoms were encountered perioperatively or postoperatively and the patient had an excellent analgesic result. As this combination of circumstances has not to our knowledge been documented, we wished to present this case and discuss the factors affecting our decision and management.