[Pain management with nerve root block under ct and neurostimulator guidance].
OBJECTIVE
To evaluate the efficacy of nerve roots block under CT and neurostimulator guidance for the management of pain.


METHODS
and method. Nerve root blocks were performed in 27 patients (pudendal nerve, intercostal nerve, ilio-hypogastric nerve, thoracic and lumbar sympatholysis). These were performed with corticosteroids (Altim((R))) (20 patients) or phenol (7 patients).


RESULTS
Seventeen patients (63%) had pain reduction during at least 15 days. The pain relief was longer with phenol. Complications appeared in the 3 lumbar sympatholysis (inguinal pain) and one of the thoracic sympatholysis (Claude Bernard Horner syndrome).


CONCLUSIONS
The nerve root blocks seem to have some efficacy and a further evaluation is necessary to assess their impact on the ability of patients to return to work and their need for pain medication. When performing these procedures, one must be careful to avoid potential complications and verify that the procedure is needed.
Morel
D
D
Département de Radiologie et Imagerie Médicale, Hôpital Sud, BP 90347, 35203 Rennes cedex 2, France.
Rolland
Y
Y
Marin
F
F
Pougnard-Bellec
F
F
Duvauferrier
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods; D059408:Pain Management; D013126:Spinal Nerve Roots; D014057:Tomography, X-Ray Computed
Traitement de la douleur par infiltrations nerveuses sous contrôle tomodensitométrique et neurostimulateur.