24. CASE REPORT: ALCOHOL NEUROLYSIS OF SUPRASCAPULAR NERVE FOR METASTATIC CANCER TO THE SCAPULA PAIN
Main Article Content
Abstract
Case introduction: We present a case of a 48-year-old female patient with metastatic cancer in the scapula, severe pain in the shoulder blade area, unresponsive to conventional painkillers. NSAID painkillers used in combination with Opioids, but the patient still has a lot of pain, VAS pain score is always 9/10. We alcohol neurolysis of suprascapular nerve, significantly reducing the patient's pain level immediately afterward without any complications. The patient was monitored for lasting pain relief after 6 months with a VAS score of 2/10, and the patient could return to normal daily activities. Alcohol neurolysis of suprascapular nerve is a safe, effective method and can provide long-term pain relief for patients metastatic cancer to the scapula.
Article Details
Keywords
Alcohol neurolysis, metastatic cancer, the scapula, pain
References
[2] Azevedo São Leão, Ferreira K, Kimura M, Jacobsen Teixeira M, The WHO analgesic ladder for cancer pain control, twenty years of use.
How much pain relief does one get from using it? Support Care Cancer, 2006, 14(11): 1086-1093.
[3] Kostretzis L, Theodoroudis I, Boutsiadis A et al, Suprascapular Nerve Pathology: A Review of the Literature, Open Orthop J., 2017, 11: 140-153.
[4] Liu CW, Flamer D, Supraclavicular Brachial Plexus Neurolysis for a Malignant Peripheral Nerve Sheath Tumor: A Case Report, A A Pract,
2018, 11(11): 309-311.
[5] Pasquali C, Vulcano E, Novario R et al, Ultrasound-guided alcohol injection for Morton's neuroma, Foot Ankle Int, 2015, 36(1): 55-59.
[6] Chen CK, Phui VE, MA, Saman Alcohol neurolysis of lateral femoral cutaneous nerve for recurrent meralgia paresthetica, Agri, 2012, 24(1):
42-44.
[7] Dass RM, Kim E, Kim HK et al, Alcohol neurolysis of genicular nerve for chronic knee pain, Korean J Pain, 2019, 32(3): 223-227.
[8] Kambadakone A, Thabet A, Gervais DA et al, CT-guided celiac plexus neurolysis: a review of anatomy, indications, technique, and tips for successful treatment, Radiographics, 2011, 31(6): 1599-1621.
[9] Cappellari AM, Tiberio F, Alicandro G et al, Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain: a Case Series, Muscle Nerve, 2018, 58(5): 671-675.
[10] Hou S, Novy D, Felice F et al, Efficacy of Superior Hypogastric Plexus Neurolysis for the Treatment of Cancer-Related Pelvic Pain, Pain Med. , 2020, 21(6): 1255-1262.