Interventional Management of Chronic Neuropathic Cervical Pain Following Nerve Sheath Tumor Resection and Radiation: A Case Report.

Authors

Kevin Tran, Evan Banks, Mahmood Gharib

Published in

Pain medicine case reports. Volume 10. Issue 6. Pages 507-510.

Abstract

Chronic neuropathic pain after head and neck cancer is common and difficult to treat, especially when compounded by surgical and radiation-related neural injury. This case illustrates persistent superficial cervical plexopathy after tumor resection and adjuvant radiation with limited response to standard therapy.
A man in his 30s developed constant, allodynic left anterolateral neck pain after resection of a carotid triangle nerve sheath sarcoma and postoperative radiation. Conservative measures (physical therapy, topical agents, gabapentin) provided minimal relief. An ultrasound-guided superficial cervical plexus block resulted in only transient pain relief, with symptoms recurring within hours. A trial of 2 cycles of botulinum toxin type A injections resulted in minimal and nonsustained improvement.
Post-treatment cervical neuropathic pain can be refractory despite standard care. A multidisciplinary, individualized approach that integrates diagnostic blocks, targeted interventions, and cancer rehabilitation may improve function and quality of life in selected patients.

PMID:
42679079
Bibliographic data and abstract were imported from PubMed on 02 Sep 2026.

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