Open AccessImpar ganglion block with combination of neurolysis drugs and radiofrequency thermocoagulation for perineal pain
Author(s) -
Agus Turchan,
Achmad Fahmi,
Heri Subianto
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_306_16
Subject(s) - radiofrequency thermocoagulation , medicine , neurolysis , pulsed radiofrequency , anesthesia , surgery , pain relief , trigeminal neuralgia
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.