Management of Intractable Pain of the Upper Limb by Alcohol Neurolysis of the Brachial Plexus

Abstract In cancer pain management, neurolysis of the peripheral nerves is used when pain is not controlled with pharmacological means and other interventions. We report a case of diffuse large B-cell lymphoma suffering with severe pain in the left upper limb and was managed successfully by alcohol neurolysis of the brachial plexus. Brachial plexus neurolysis is still a sparsely used technique, and only a few cases have been reported in the literature. The present case report highlighted the usefulness and safety of alcohol neurolysis of the brachial plexus when conservative measures failed to provide adequate pain relief.