1. Intrathecal neurolysis for the management of refractory pain in a patient with terminal oncological disease: case report.
- Author
-
Rangel Jaimes GW, Ortega Agón KA, and Cediel Carrillo XJ
- Subjects
- Female, Humans, Cancer Pain drug therapy, Cancer Pain etiology, Neoplasms complications, Nerve Block methods, Pain, Intractable drug therapy, Pain, Intractable etiology
- Abstract
We report on the successful treatment of refractory cancer pain by intrathecal neurolysis using 96% absolute alcohol. A female patient with colorectal adenocarcinoma with metastases to the sacral bones, the patient had severe pain refractory to pharmacological and interventional treatment. Intrathecal neurolytic block at the L5-S1 intervertebral space was performed, she reported a significant improvement in her pain and decreased opioid use. The patient did not show deterioration of neurological functions after the procedure or associated complications, and outpatient treatment continued with a home medicine program. She remained comfortable until her death 6 weeks later. Considering that this is an accessible and cost-effective procedure, it could be a helpful alternative for the management of patients with refractory pain in the terminal stage.
- Published
- 2022
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