title: Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient.
abstract: METHODS
  A case report defining an interventional procedure.
  
  
  OBJECTIVE
  To reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve.
  
  
  METHODS
  The study was conducted in Ankara, Turkey.
  
  
  METHODS
  A paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography.
  
  
  RESULTS
  After treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced.
  
  
  CONCLUSIONS
  Ultrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Yalcin
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Akyuz
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Ilgu
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
authors.forename: N B
authors.initials: NB
authors.lastname: Ozer
mesh_terms: D000328:Adult; D002491:Central Nervous System Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D009407:Nerve Block / Q000379:methods*; D009776:Obturator Nerve / Q000000981:diagnostic imaging / Q000503:physiopathology; D059408:Pain Management / Q000379:methods; D010264:Paraplegia / Q000209:etiology / Q000503:physiopathology*; D019800:Phenol; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology; D018084:Ultrasonography, Interventional
chemical_list: D002491:Central Nervous System Agents; D019800:Phenol