Journal de radiologie · 2002
[Efficacy of C1-C2 block with posterior parasagittal approach in the treatment of Arnold neuralgia in 24 patients].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Pougnard-Bellec F, Rolland Y, Morel D, Meadeb J, Marin F, Duvauferrier R
Аннотация
UNLABELLED: The purpose of the study is to evaluate the efficacy of C1-C2 block from a posterior parasagittal approach to treat Arnold neuralgia.
MATERIALS AND METHODS: 24 patients have been interviewed after 33 blocks were performed. The mean delay was 22 months. The posterior approach had always been performed using fluoroscopy. 27 blocks were performed with Hydrocortancyl((R)), 6 with Altim((R)).
RESULTS: 71% of patients were symptomatically improved after one month, 62% after 3 months and more than 50% after one year. Using a visual analogue scale, pain was reduced of 5.8, i.e. 70% of patients were improved. An important reduction of pain killer requirements was noted for improved patients, patients with pain recurrence asked for a new infiltration. No significant side effect was noted.
CONCLUSION: Our method seems to be an efficient alternative to blocks performed on the origin of the nerve and to surgical treatment.
MATERIALS AND METHODS: 24 patients have been interviewed after 33 blocks were performed. The mean delay was 22 months. The posterior approach had always been performed using fluoroscopy. 27 blocks were performed with Hydrocortancyl((R)), 6 with Altim((R)).
RESULTS: 71% of patients were symptomatically improved after one month, 62% after 3 months and more than 50% after one year. Using a visual analogue scale, pain was reduced of 5.8, i.e. 70% of patients were improved. An important reduction of pain killer requirements was noted for improved patients, patients with pain recurrence asked for a new infiltration. No significant side effect was noted.
CONCLUSION: Our method seems to be an efficient alternative to blocks performed on the origin of the nerve and to surgical treatment.