Continuous sacral nerve root block in the management of neuropathic cancer pain.

Vranken, Jan H; Van Der Vegt, Marinus H; Ubags, Leon H; Pijl, Aarnout J; Dzoljic, Misa · Anesth Analg · 2002

case_report · Level V

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Abstract

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.

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