Magnetic Resonance Neurography-Guided Nerve Blocks for the Diagnosis and Treatment of Chronic Pelvic Pain Syndrome

被引:47
作者
Fritz, Jan [1 ]
Chhabra, Avneesh [2 ]
Wang, Kenneth C. [1 ]
Carrino, John A. [1 ]
机构
[1] Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
[2] Univ Texas Southwestern, Dept Radiol, Dallas, TX 75390 USA
关键词
MR neurography (MRN); Pudenda nerve block; Posterior femoral cutaneous nerve block; MR guidance; Pain injection; Nerve block; Piriformis syndrome; FEMORAL CUTANEOUS NERVE; SPINAL INJECTION PROCEDURES; TOXIN TYPE-A; OBTURATOR NERVE; PIRIFORMIS SYNDROME; PUDENDAL NEURALGIA; SCIATIC-NERVE; COMPUTED-TOMOGRAPHY; IODINATED CONTRAST; ROOT INFILTRATION;
D O I
10.1016/j.nic.2013.03.028
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Magnetic resonance (MR) neurography-guided nerve blocks and injections describe techniques for selective percutaneous drug delivery, in which limited MR neurography and interventional MR imaging are used jointly to map and target specific pelvic nerves or muscles, navigate needles to the target, visualize the injected drug and detect spread to confounding structures. The procedures described, specifically include nerve blocks of the obturator nerve, lateral femoral cutaneous nerve, pudendal nerve, posterior femoral cutaneous nerve, sciatic nerve, ganglion impar, sacral spinal nerve, and injection into the piriformis muscle.
引用
收藏
页码:211 / +
页数:25
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