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Advanced Technical IVT

tractotomy

Pronunciation: trak-TOT-oh-mee

Surgical procedure involving the selective cutting or interruption of specific white matter tracts.

Full Definition

Tractotomy is a neurosurgical procedure that involves the selective sectioning or interruption of specific white matter fiber tracts in the brain. This technique is used to treat various conditions including chronic pain syndromes, movement disorders, and certain psychiatric conditions. Modern tractotomy procedures often utilize advanced imaging techniques and stereotactic guidance to precisely target pathological neural circuits while preserving normal brain function. Examples include anterior cingulotomy for psychiatric disorders and trigeminal tractotomy for facial pain.

Usage

Usage note: Specify the tract targeted (e.g., cingulum, trigeminal tract) in surgical documentation.

In Context

  • "Stereotactic tractotomy was performed for medically refractory obsessive-compulsive disorder." — psychiatric neurosurgery report
  • "The trigeminal tractotomy provided effective pain relief for atypical facial pain." — pain management consultation

Also known as

tract section fiber tract interruption

Contrasted with

tract preservation white matter sparing

Don't confuse with

lobotomy rhizotomy cordotomy

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