Evaluation of the effectiveness of CT-guided infiltration in the treatment of Arnold's neuralgia

被引:18
|
作者
Aubry, Sebastien [1 ,2 ]
Kastler, Bruno [2 ,3 ]
Bier, Vincent [3 ]
Hadjidekov, Vassil [4 ]
Hussein, Hussein Haj [3 ]
Fergane, Bernard [5 ]
机构
[1] CHU Sherbrooke, Dept Radiol, Sherbrooke, PQ J1H 5N4, Canada
[2] Univ Franche Comte, Lab Intervent Imagerie Ingenierie & Innovat Sante, F-25000 Besancon, France
[3] CHU Jean Minjoz, Serv Radiol A, F-25000 Besancon, France
[4] Alexandrovska Hosp, Dept Radiol, Sofia, Bulgaria
[5] CHU Jean Minjoz, Ctr Evaluat & Traitement Douleur, F-25000 Besancon, France
关键词
Cervicogenic headache; CT; Treatment; Interventional; Arnold's neuralgia; GREATER OCCIPITAL NERVE; CERVICOGENIC HEADACHE; BLOCKS;
D O I
10.1007/s00234-008-0480-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this study was to evaluate the effectiveness of computed tomography (CT)-guided infiltration in the treatment of Arnold's neuralgia. A retrospective study included 31 patients suffering from Arnold's neuralgia and having undergone a total of 45 CT-guided infiltrations of the greater occipital nerve (GON), in a proximal site (emergence of the GON, technique 1, n = 24) or in two proximal sites (emergence of the GON and at the site of the first bend of the GON drawn by the GON, technique 2, n = 21). Infiltration was considered to be effective when pain relief was equal to or greater than 50% for at least 1 month. There was no significant difference between the two techniques regarding immediate pain relief effect (53.3% for technique 1 vs. 60.5% for technique 2, p = 0.5), but technique 2 yielded better persistence of pain relief effect (p = 0.01), leading to a significantly higher percentage of effective infiltrations with technique 2 (p = 0.03). Infiltrations carried out in a single site yield results that are comparable to those previously published. Infiltrations in two sites provide significantly better results and should now be preferred to other single-site techniques in order to reduce the rate of failure or recurrence of Arnold's neuralgia.
引用
收藏
页码:163 / 168
页数:6
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