Continuous sacral nerve root block in the management of neuropathic cancer pain.
Neuropathic cancer pain caused by tumor infiltration in the sacral plexus is primarily treated by nonsteroidal antiinflammatory drugs, antidepressants, anticonvulsants, and opioids. In one patient with severe pain despite pharmacotherapy, a catheter for the continuous administration of local anesthetics was inserted along the first sacral root, resulting in markedly improved analgesia.
Vranken
Jan H
JH
Department of Anesthesiology, Pain Relief Unit, Academic Medical Center, University of Amsterdam, The Netherlands. j.h.vranken@amc.uva.nl
Van Der Vegt
Marinus H
MH
Ubags
Leon H
LH
Pijl
Aarnout J
AJ
Dzoljic
Misa
M
D000328:Adult; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D010051:Ovarian Neoplasms / Q000503:physiopathology*; D010148:Intractable Pain / Q000628:therapy*; D012445:Sacrococcygeal Region; D013126:Spinal Nerve Roots