Selective Spinal Nerve Block in Ilioinguinal, Iliohypogastric and Genitofemoral Neuralgia

Objective & Hypothesis:AIM: To seek the efficacy of selective spinal nerve blocks in the treatment of groin pain that are irresponsive to peripheral nerveblocks.MATERIAL and METHODS: This retrospective study comprised 17 patients with ilioinguinal, iliohypogastric, and genitofemoralneuralgias treated between 2017 and 2018.RESULTS: All patients received diagnostic peripheral nerve blocks and/or TAP blocks with blind or ultrasound-guided techniques.Four patients had ineffectual peripheral nerve blocks, after which they underwent T12 and L1 selective spinal nerve blocks.

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Key Findings & Data:All fourpatients had satisfactory results.CONCLUSION: If distal peripheral nerve blocks are ineffective, an upper level nerve lesion, a lesion in the lumbar plexus or an L1radiculopathy should be considered in ilioinguinal, iliohypogastric, and genitofemoral neuralgias.

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Conclusion & Impact:Upper level nerve blocks shouldbe performed before deciding on surgery.

🔬Design:Research Article

📍Scope:2017 Verileri

⚙️Variables:Domain Parameters

Özet

AIM: To seek the efficacy of selective spinal nerve blocks in the treatment of groin pain that are irresponsive to peripheral nerveblocks.MATERIAL and METHODS: This retrospective study comprised 17 patients with ilioinguinal, iliohypogastric, and genitofemoralneuralgias treated between 2017 and 2018.RESULTS: All patients received diagnostic peripheral nerve blocks and/or TAP blocks with blind or ultrasound-guided techniques.Four patients had ineffectual peripheral nerve blocks, after which they underwent T12 and L1 selective spinal nerve blocks. All fourpatients had satisfactory results.CONCLUSION: If distal peripheral nerve blocks are ineffective, an upper level nerve lesion, a lesion in the lumbar plexus or an L1radiculopathy should be considered in ilioinguinal, iliohypogastric, and genitofemoral neuralgias. Upper level nerve blocks shouldbe performed before deciding on surgery.

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Cite This Article

KALE, A., AYTULUK, H. G., ÇAM, İ., BASOL, G., SUNNETCI, B. (2019). Selective Spinal Nerve Block in Ilioinguinal, Iliohypogastric and Genitofemoral Neuralgia. Turkish Neurosurgery, Cilt: 29 - Sayı: 4, 530–537. https://ajindex.com/articles/404394

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