Thalamotomy

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The thalamotomy is a stereotactic brain operation that has completely replaced the lobotomy . By cauterizing core areas of the thalamus , otherwise unmanageable pain is treated. Indications are pain in the arms, neck or face, as well as central pain that occurs in the thalamus itself. Phantom pain after amputations, which sometimes also has a psychogenic cause, can often be relieved from the spinal cord, but in certain cases can be influenced in the thalamus. The interruption of dorsomedial connections to the frontal lobe is actually not a pain operation, but a psychosurgical intervention. The aim is to spare the patient excruciating and pharmacologically uninfluenceable pain conditions. This form of thalamotomy is rarely performed and only as a last resort .