Like most reviews on the pathophysiology of pain this lecture will mainly consider the physiology of nociceptiono Nociception like other sensory modalities is subserved by a specific array of nervous connexions which have been known in broad lines for many yearso A number ofneurosurgical operating procedures (cordotomy, tractotomy .oo) were based on this' knowledge. In recent years owing to maj...

Because of metastatic pain resistant to medical treatment after left pneumonectomy for squamous cell carcinoma, a 46-year-old patient underwent a bilateral cervical cordotomy at the C1-C2 anterolateral level, in two phases. The second intervention was followed by severe ventilatory problems requiring mechanical ventilation, and at a later stage, the implantation of a phrenic pacemaker on the ri...

Brachial plexus dysfunction is a well-known complication of cancer. Metastatic brachial plexus (RBP) are the most common causes. The distinction between MBP and RBP is very important but is not easy to make. This article presents in detail the distinguishing features of these types of brachial dysfunction. In regard to treatment, radiation, chemotherapy, narcotic analgesics, paravertebral nerve...