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Anesthesia and analgesia · Jan 2010
Transforaminal 5% phenol neurolysis for the treatment of intractable cancer pain.
- Kenneth D Candido, Cyril N Philip, Ramsis F Ghaly, and Nebojsa Nick Knezevic.
- Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W. Wellington Ave., Chicago, IL 60657, USA. kdcandido@yahoo.com
- Anesth. Analg. 2010 Jan 1;110(1):216-9.
AbstractThis is the first case report of using a transforaminal approach for phenol administration. A 76-yr-old patient with a history of leiomyosarcoma and multiple metastatic lesions had unremitting pain in the right thoracic and lumbar regions and had prohibitive opioid-induced side effects. The patient underwent phenol neurolysis using a transforaminal approach in 2 stages at 3 levels (L3-4, L1-2, and T12-L1). The patient had complete resolution of pain, without any complications, and opioid treatment was nearly discontinued. Transforaminal phenol neurolysis is a reasonable treatment option for patients suffering from intractable pain for whom conventional therapies have proven ineffective.
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