Bilateral Occipital Phenol Neurolysis
Case study

A 35 years old female presented with history of episodes of severe shock like, burning pain in suboccipital, frontoparietal region bilaterally and occasionally in retrobulbar region with neck stiffness since one year. She failed to respond to the conservative management, hence given local anesthetic block with steroid of occipital nerves bilaterally on two occasions followed by neurolytic block with phenol at interval of one month. There was reduction in VAS from 9 to <2 at the end of three months. Oral analgesics andanticonvulsants were continued for one month and tapered off over 15 days. On follow up at 6 months and one year she was comfortable with VAS < 2 and no analgesic support needed...