Advertisement

Pain pp 873-876 | Cite as

Neurolysis

  • Teresa M. Kusper
  • Kenneth D. Candido
  • Nebojsa Nick KnezevicEmail author
Chapter

Abstract

Neurolytic block therapy is an accepted method of providing sustained analgesia for persistent malignant and non-malignant pain states when conventional treatment strategies have either failed to deliver satisfactory pain control or when prohibitive adverse effects prevent continuation of the conventional therapy. Given the long-term effect of these blocks, strong command of the related anatomy, familiarity with the techniques, and appreciation of potential complications is imperative for successful application of neurolytic block therapy. The focus of this chapter is a discussion of chemical neurolysis with phenol or absolute alcohol for the management of benign and cancer-related pain syndromes.

Keywords

Neurolysis Neural destruction Cancer-related pain Celiac plexus block Superior hypogastric plexus block Lumbar sympathetic plexus block Ganglion impar block Neuraxial neurolytic block 

References

  1. 1.
    Candido KD, Knezevic NN. Neurolytic blocks. In: Diwan SP, editor. Atlas of pain medicine procedures. New York: MCGraw-Hill Professional; 2014.Google Scholar
  2. 2.
    Candido KD, Germanovich A, Ghaly RF, Gorelick GH, Knezevic NN. Case report: computed tomography scan-guided Gasserian ganglion injection of dexamethasone and lidocaine for the treatment of recalcitrant pain associated with herpes simplex type 1 infection of the ophthalmic division of the trigeminal nerve. Anesth Analg. 2011;112:224–7.CrossRefGoogle Scholar
  3. 3.
    Candido K, Stevens RA. Intrathecal neurolytic blocks for the relief of cancer pain. Best Pract Res Clin Anaesthesiol. 2003;17:407–28.CrossRefGoogle Scholar
  4. 4.
    Candido KD, Philip CN, Ghaly RF, Knezevic NN. Transforaminal 5% phenol neurolysis for the treatment of intractable cancer pain. Anesth Analg. 2010;110:216–9.CrossRefGoogle Scholar
  5. 5.
    Candido KD. Advanced interventional techniques for managing cancer-related pain. Pain Medicine News. 2011.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Teresa M. Kusper
    • 1
  • Kenneth D. Candido
    • 1
    • 2
  • Nebojsa Nick Knezevic
    • 1
    • 2
    Email author
  1. 1.Department of AnesthesiologyAdvocate Illinois Masonic Medical CenterChicagoUSA
  2. 2.Departments of Anesthesiology and SurgeryUniversity of Illinois College of MedicineChicagoUSA

Personalised recommendations