Gupta Nishkarsh, Garg Rakesh, Saini Shalini, Bharti Sachidanand Jee, Kumar Vinod
is an assistant professor, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Science (AIIMS), New Delhi, India.
is an assistant professor, Dr BRA Institute Rotary Cancer Hospital, AIIMS.
AANA J. 2017 Dec;85(6):424-426.
Patients with advanced pelvic malignancies present with pain of varying severity. Their pain can be effectively managed using a systemic pharmacologic approach, including oral administration of morphine. However, morphine can lead to constipation, which may be especially troublesome in patients with rectal carcinoma. Neurolytic blocks such as of the ganglion impar may alleviate sympathetically mediated pain and help in reducing opioid requirement. However, use of a ganglion impar block may rarely be associated with side effects such as rectal puncture, neuritis, and cauda equina syndrome. We report a rare neurologic complication after a fluoroscopic-guided ganglion impar block.
晚期盆腔恶性肿瘤患者会出现不同程度的疼痛。使用全身性药物治疗方法，包括口服吗啡，可有效控制他们的疼痛。然而，吗啡会导致便秘，这对直肠癌患者来说可能尤其麻烦。诸如奇神经节阻滞等神经溶解阻滞可减轻交感神经介导的疼痛，并有助于减少阿片类药物的用量。然而，使用奇神经节阻滞很少会出现诸如直肠穿刺、神经炎和马尾综合征等副作用。我们报告了一例在透视引导下奇神经节阻滞后罕见的神经并发症。
