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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Candido KD, Knezevic NN. Neurolytic blocks. In: Diwan SP, editor. Atlas of pain medicine procedures. New York: MCGraw-Hill Professional; 2014.
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.
Candido K, Stevens RA. Intrathecal neurolytic blocks for the relief of cancer pain. Best Pract Res Clin Anaesthesiol. 2003;17:407–28.
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.
Candido KD. Advanced interventional techniques for managing cancer-related pain. Pain Medicine News. 2011.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kusper, T.M., Candido, K.D., Knezevic, N.N. (2019). Neurolysis. In: Abd-Elsayed, A. (eds) Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-99124-5_186
Download citation
DOI: https://doi.org/10.1007/978-3-319-99124-5_186
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-99123-8
Online ISBN: 978-3-319-99124-5
eBook Packages: MedicineMedicine (R0)