Clinical Radiology
Volume 65, Issue 1 , Pages 21-25 , January 2010

CT-guided injection for ganglion impar blockade: a radiological approach to the management of coccydynia

  • A. Datir

      Affiliations

    • Jackson Memorial Hospital, Miami, FL, USA
    • Corresponding Author InformationGuarantor and correspondent: A. Datir, 51 SW 11th Street, Apartment # 1425, Miami, FL, 33130-4152, USA. Tel.: +1 305 744 1014; fax: +1 305 355 4725.
    • ,
  • D. Connell

      Affiliations

    • Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK

Received 14 August 2008 ,Revised 9 August 2009 ,Accepted 18 August 2009.

References 

  1. Howorth B. The painful coccyx. Clin Orthop. 1959;14:145–161
  2. Toshniwal GR, Dureja GP, Prashanth SM. Transsacrococcygeal approach to ganglion impar block for management of chronic perineal pain: a prospective observational study. Pain Physician. 2007;10:661–666
  3. Gupta D, Jain R, Mishra S, et al. Ultrasonography reinvents the originally described technique for ganglion impar neurolysis in perianal cancer pain. Anesth Analg. 2008;107:1390–1392
  4. Reig E, Abejon D, Del Pozo C, et al. Thermocoagulation of the ganglion impar or ganglion of Walther: description of a modified approach. Preliminary results in chronic, nononcological pain. Pain Pract. 2005;5:103–110
  5. Chang-Seok O, In-Hyuk C, Hyun-Ju J, et al. Clinical implications of topographic anatomy on the ganglion impar. Anesthesiology. 2004;101:249–250
  6. Loev MA, Varklet VL, Wilsey BL, et al. Cryoablation: a novel approach to neurolysis of the ganglion impar. Anesthesiology. 1998;88:1391–1393
  7. Plancarte R, Velazquez R, Patt R. Neurolytic blocks of sympathetic axis. In:  Patt R editors. Cancer pain. Philadelphia: JB Lippincott Publishers; 1993;p. 417–420
  8. Wemm K, Saberski L. Modified approach to block the ganglion impar (ganglion of Walther). Reg Anesth. 1995;20:544–545
  9. Nebab EG, Florence IM. An alternative needle geometry for interruption of ganglion impar. Anesthesiology. 1997;86:1213–1214
  10. Munir MA, Zhang J, Ahmad M. A modified needle-inside-needle technique for the ganglion impar block. Can J Anaesth. 2004;51:915–917

PII: S0009-9260(09)00323-7

doi: 10.1016/j.crad.2009.08.007

Clinical Radiology
Volume 65, Issue 1 , Pages 21-25 , January 2010

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