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Anesthesia and analgesia · Dec 2002
Case ReportsContinuous sacral nerve root block in the management of neuropathic cancer pain.
- Jan H Vranken, Marinus H Van Der Vegt, Leon H Ubags, Aarnout J Pijl, and Misa Dzoljic.
- Department of Anesthesiology, Pain Relief Unit, Academic Medical Center, University of Amsterdam, The Netherlands. j.h.vranken@amc.uva.nl
- Anesth. Analg. 2002 Dec 1; 95 (6): 1724-5, table of contents.
ImplicationsNeuropathic 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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