Comparison of epidural butamben to coeliac plexus neurolytic block
for the treatment of the pain of pancreatic cancer.
Table 1 Physical Vol = 2 ml, turbid, coagulum+ Chemical Protein = 0.5gm/dl, Sugar = 400mg/dl Microscopic TLC = 755/[mm.sup.3], [P.sub.98], [L.sub.2], Metastatic cell = nil The only option left of was intrathecal neurolytic block
. So neurolysis with either phenol or absolute alcohol was planned.
Key Words: superior hypogastric plexus, neurolytic block, imaging, ultrasound- guided, pelvic pain
The next day a hypogastric neurolytic block was planned.
The VAS pain scores 24 hours after the neurolytic block were 0 and 30 respectively.
We were able to achieve complete pain relief after a diagnostic block and there was a decrease in pain scores in both the patients after the neurolytic block. More extensive studies are being planned to evaluate the safety and efficacy of this approach.
There are various modalities of treatment mentioned in the literature, such as pharmacological, surgical and neurolytic blocks (1-3).
A new approach to the neurolytic block
of the celiac plexus: The transaortic tecnique.
Despite the fact that it is far from being a routine procedure, the neurolytic block
(neurolysis) has been reported to provide patients with secure and effective relief for pain that does not respond to conventional treatments.
Hurley, "Chemical neurolytic blocks
," in Practical Management of Pain, H.
Some of the nearly 140 concise chapters focus on particular types of pain (i.e., osteoarthritis, post-mastectomy pain, etc.), while others deal with specific treatment modalities (hypnosis, neurolytic blocks
Topics also include headache, painful medical diseases, neurolytic blocks
for cancer pain and electrical stimulation of the nervous system.