Impar ganglion block with combination of neurolysis drugs and radiofrequency thermocoagulation for perineal pain

Since it was first introduced, a variety of modification techniques to block the impar ganglion appear such as transsacrococcygeal ligament technique, sacrococcygeal transdiscal approach, paramedian approach, and a two-needle technique using fluoroscopy or computed tomography scan. For therapeutic p...

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Bibliographic Details
Published inAsian journal of neurosurgery Vol. 13; no. 3; pp. 838 - 841
Main Authors Turchan, Agus, Fahmi, Achmad, Subianto, Heri
Format Journal Article
LanguageEnglish
Published A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.07.2018
Wolters Kluwer India Pvt. Ltd
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Subjects
Care and treatment
Case Report
Ganglion cysts
Pain management
impar ganglion blocks
radiofrequency thermocoagulation
Alcohol 96
neurolysis
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Summary:Since it was first introduced, a variety of modification techniques to block the impar ganglion appear such as transsacrococcygeal ligament technique, sacrococcygeal transdiscal approach, paramedian approach, and a two-needle technique using fluoroscopy or computed tomography scan. For therapeutic purposes, a combination of steroid and local anesthetic, neurolysis agents such as alcohol, phenol, cryolesioning, and heat lesioning using radiofrequency thermocoagulation could be used. Here, we reported a successful outcome in treating chronic perineal pain in a 65-year-old patient using combination of neurolysis agent which was alcohol 96% and radiofrequency thermocoagulation.
ISSN:1793-5482
2248-9614
DOI:10.4103/ajns.AJNS_306_16