Role of interventional radiology in pudendal neuralgia: a description of techniques and review of the literature
| Autor: | Ezio Fanucci, Gme Simonetti, S D'Urso, Antonio Ursone, Guglielmo Manenti, N Fusco, I Mylonakou |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Percutaneous Pudendal nerve Settore MED/50 - Scienze Tecniche Mediche Applicate Anti-Inflammatory Agents Ischial spine Ibuprofen Radiography Interventional Injections Neuralgia Pudendal nerve block Alcock's canal entrapment Computed tomography guidance Settore MED/36 - Diagnostica per Immagini e Radioterapia medicine Humans Radiology Nuclear Medicine and imaging In patient Acetaminophen Aged Neuroradiology medicine.diagnostic_test business.industry Nerve Compression Syndromes Pudendal neuralgia Interventional radiology General Medicine Middle Aged medicine.disease Antidepressive Agents Surgery Treatment Outcome medicine.anatomical_structure Anticonvulsants Female Radiology Tomography X-Ray Computed business |
| Zdroj: | La radiologia medica. 114:425-436 |
| ISSN: | 1826-6983 0033-8362 |
| DOI: | 10.1007/s11547-009-0371-0 |
| Popis: | The authors sought to evaluate indications, technical feasibility and clinical efficacy of computed tomography (CT)-guided pudendal nerve infiltration in patients with chronic anoperineal pain by reviewing the role of the CT technique in their personal experience and in the recent interventional literature. Twenty-eight women, mean age 50 years, and with a diagnosis of pudendal neuralgia on the basis of clinical and electromyographic criteria were enrolled in the study. CT-guided pudendal nerve injections were performed during three consecutive sessions held 2 weeks apart. In each session, patients received two percutaneous injections: one in the ischial spine, and the other in the pudendal (Alcock’s) canal. One patient dropped out of the study after the first session. At clinical assessment, 24h h after treatment, 21/27 patients reported significant pain relief. At follow-up at 3, 6, 9 and 12 months, 24/27 patients reported a≥20% improvement in the Quality of Life (QOL) index. Conclusions. In pudendal nerve entrapment, CT-guided perineural injection in the anatomical sites of nerve impingement is a safe and reproducible treatment with a clinical efficacy of 92% at 12 months. |
| Databáze: | OpenAIRE |
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