Neurolisis subaracnoidea. Reporte de 2 casos y revisión de la literatura / Subarachnoid neurolysis. Report of 2 cases and review of literature
Med. paliat
; 24(3): 162-166, jul.-sept. 2017.
Article
in Es
| IBECS
| ID: ibc-164296
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Un pequeño porcentaje de pacientes con cáncer avanzado presentan dolor severo de muy difícil control o considerado intratable. Presentamos 2 casos de pacientes con enfermedad avanzada en manejo paliativo, con compromiso neurológico en miembros inferiores y un pronóstico de supervivencia menor a 6 meses, a quienes se les realizó bloqueo neurolítico subaracnoideo con alcohol absoluto al 95%. El control del dolor mejoró luego de la neurolisis, lo que permitió racionalizar la terapia opioide y continuar el manejo ambulatorio en casa
ABSTRACT
A small percentage of patients with advanced cancer experience severe pain that is very difficult to control or is considered untreatable. We report 2 cases of patients on palliative care with advanced disease, lower limb neurological compromise, and a survival prognosis of less than 6 months. They received a subarachnoid neurolytic block with 95% alcohol. Pain control improved after neurolytic therapy, allowing the management of opioid therapy and to continue the outpatient management at home
Full text:
1
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Subarachnoid Space
/
Hospice Care
/
Nerve Block
Limits:
Humans
Language:
Es
Journal:
Med. paliat
Year:
2017
Document type:
Article