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A 71-year-old man is referred to the pain management center for abdominal pain secondary to a diagnosis of metastatic pancreatic cancer. The patient recently underwent a local anesthetic block of the celiac plexus with 80% relief of his abdominal pain. He presents today for a neurolytic block using phenol. The procedure seems uneventful until he is ready to be transferred to the recovery area, where he complains of numbness and weakness in his legs.
The author wishes to thank Drs. Gilbert Y. Wong and David L. Brown for their contributions to the previous edition of this chapter.
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