Sympathetic Nervous System Blocks for the Treatment of Cancer Pain

  • Nadya M. Dhanani
  • Wilson A. Almonte
  • Mitchell P. EngleEmail author


Disruption of the sympathetic nervous system with local anesthetics or neurolytic techniques has a robust history for the treatment of cancer-related pain. This chapter focuses on blocks of the sphenopalatine ganglion, stellate ganglion, thoracic sympathetic ganglion, celiac plexus, lumbar sympathetic ganglion, superior hypogastric plexus, and ganglion impar. Each section specifically discusses the anatomy, patient selection, procedural details, published treatment outcomes, and complications for each block. The goal of this chapter is to help the pain medicine practitioner rationally choose and perform sympathetic blocks for the treatment of cancer-related pain.


Sphenopalatine ganglion block Stellate ganglion block Thoracic sympathetic ganglion block Celiac plexus block Splanchnic nerve block Lumbar sympathetic ganglion block Superior hypogastric plexus block Ganglion impar block Cancer pain Neurolysis 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nadya M. Dhanani
    • 1
  • Wilson A. Almonte
    • 2
  • Mitchell P. Engle
    • 3
    Email author
  1. 1.Memorial Hermann Hospital/Mischer Neuroscience Institute, Department of Pain Management/NeurosurgeryHoustonUSA
  2. 2.Victoria Pain and Rehabilitation CenterVictoriaUSA
  3. 3.Institute of Precision Pain MedicineCorpus ChristiUSA

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