CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 838-841
DOI: 10.4103/ajns.AJNS_306_16
Case Report

Impar ganglion block with combination of neurolysis drugs and radiofrequency thermocoagulation for perineal pain

Agus Turchan
Department of Neurosurgery, Division of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya
,
Achmad Fahmi
Department of Neurosurgery, Division of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya
,
Heri Subianto
Department of Neurosurgery, Division of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya
› Author Affiliations

Since it was first introduced, a variety of modification techniques to block the impar ganglion appear such as transsacrococcygeal ligament technique, sacrococcygeal transdiscal approach, paramedian approach, and a two-needle technique using fluoroscopy or computed tomography scan. For therapeutic purposes, a combination of steroid and local anesthetic, neurolysis agents such as alcohol, phenol, cryolesioning, and heat lesioning using radiofrequency thermocoagulation could be used. Here, we reported a successful outcome in treating chronic perineal pain in a 65-year-old patient using combination of neurolysis agent which was alcohol 96% and radiofrequency thermocoagulation.



Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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