Subarachnoid neurolytic block under general anesthesia in a 3-year-old with neuroblastoma.


Journal Article

CASE REPORT: A 3-year-old boy with neuroblastoma complained of severe pain in the left lower extremity. Pharmacologic management had previously been attempted, but severe pain continued, and further upward titration was complicated by sedative effects. METHODS AND RESULTS: Because the focus of treatment had become the controlling of pain, a lumbosacral subarachnoid neurolytic block was performed under general anesthesia. One-time neurolysis was more acceptable to the family than a procedure like epidural analgesia, that requires greater management. Contrast medium was used to monitor the spread of the neurolytic. An epidural catheter was inserted during the neurolytic block procedure for possible future use. The short-term results were good--pain reports and opioid doses decreased greatly, although with increased incontinence. The boy had new abdominal distention and pain 5 days after neurolysis. Opioid doses and sedatives were increased. He died 3 days later.

Full Text

Cited Authors

  • Patt, RB; Payne, R; Farhat, GA; Reddy, SK

Published Date

  • June 1995

Published In

Volume / Issue

  • 11 / 2

Start / End Page

  • 143 - 146

PubMed ID

  • 7549171

Pubmed Central ID

  • 7549171

International Standard Serial Number (ISSN)

  • 0749-8047

Digital Object Identifier (DOI)

  • 10.1097/00002508-199506000-00010


  • eng

Conference Location

  • United States