Successful intrathecal neurolytic block for the management of cancer pain in a 10-year-old child: a case report

JA Clinical Reports - Tập 7 Số 1 - 2021
Satokuni Tashiro1, Kohei Godai1, Yukihisa Daitoku1, Taishi Sato1, Kei Enohata1, N Kiyonaga1, Kazuyuki Maekawa2, Yuichi Kanmura1
1Department of Anesthesiology and Pain Medicine, Kagoshima University Hospital, Kagoshima, Japan
2Palliative Care Center, Kagoshima University Hospital, Kagoshima, Japan

Tóm tắt

Abstract Background Cancer pain management in children is challenging owing to their unique patient characteristics. We present the case of a 10-year-old girl whose cancer pain was successfully managed using an intrathecal neurolytic block. Case presentation The patient experienced severe cancer pain due to recurrent right ilium osteosarcoma. The tumor progressed rapidly despite chemoradiotherapy and gradually invaded the right lumbar plexus, which resulted in severe neuropathic pain in the right lower extremity. Systemic analgesics failed to attenuate the pain. We performed an intrathecal neurolytic block using 10% phenol-glycerol. The neurolytic block completely relieved her right lower extremity pain. After the block, the patient’s quality of life improved, and she spent her time with family. Conclusions The intrathecal neurolytic block successfully relieved the patient’s cancer pain. Successful intrathecal neurolytic blocks require meticulous pain assessment of individual patients, to avoid possible serious complications such as paresis/paralysis and bladder/bowel dysfunction.

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JA Clinical Reports

Tập 7 Số 1

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