Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia

Introduction. Idiopathic obturator neuralgia is a rare chronic pain condition. It consists of pain radiating from the obturator nerve territory to the inner thigh. However, the symptomatic obturator neuralgia is commonly caused by the obturator canal bowel hernia that causes painful compressive neur...

Full description

Saved in:
Bibliographic Details
Main Authors: Ćulafić Slobodan, Spaić Milan, Zoranović Uroš, Mišović Sidor
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2008-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500806492C.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849414545240489984
author Ćulafić Slobodan
Spaić Milan
Zoranović Uroš
Mišović Sidor
author_facet Ćulafić Slobodan
Spaić Milan
Zoranović Uroš
Mišović Sidor
author_sort Ćulafić Slobodan
collection DOAJ
description Introduction. Idiopathic obturator neuralgia is a rare chronic pain condition. It consists of pain radiating from the obturator nerve territory to the inner thigh. However, the symptomatic obturator neuralgia is commonly caused by the obturator canal bowel hernia that causes painful compressive neuropathy in more than 85% of the cases. Case report. A 61-year-old female who underwent right femoral amputation due to the occlusion of the aortofemoral vascular graft, complained of the pain characterized by its localization in the inguinal region and anterointernal side of the right inner thigh. Computer tomography and MRI findings excluded obturator canal herniation or lumbar plexopathy. A diagnosis of the obturator neuralgia was confirmed by an analgesic block of the obturator nerve. Thereafter, the neurolitic blockade of the right obturator nerve was done. The complete pain relief was achieved. Pain relief was complete in three-month follow-up period. Conclusion. Neurolitic blockade is an efficacious method in treating chronic pain caused by the idiopathic obturator neuralgia.
format Article
id doaj-art-7373dee4e8f54234a6e90e5c7db1ef73
institution Kabale University
issn 0042-8450
language English
publishDate 2008-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-7373dee4e8f54234a6e90e5c7db1ef732025-08-20T03:33:49ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502008-01-0165649249410.2298/VSP0806492CNeurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgiaĆulafić SlobodanSpaić MilanZoranović UrošMišović SidorIntroduction. Idiopathic obturator neuralgia is a rare chronic pain condition. It consists of pain radiating from the obturator nerve territory to the inner thigh. However, the symptomatic obturator neuralgia is commonly caused by the obturator canal bowel hernia that causes painful compressive neuropathy in more than 85% of the cases. Case report. A 61-year-old female who underwent right femoral amputation due to the occlusion of the aortofemoral vascular graft, complained of the pain characterized by its localization in the inguinal region and anterointernal side of the right inner thigh. Computer tomography and MRI findings excluded obturator canal herniation or lumbar plexopathy. A diagnosis of the obturator neuralgia was confirmed by an analgesic block of the obturator nerve. Thereafter, the neurolitic blockade of the right obturator nerve was done. The complete pain relief was achieved. Pain relief was complete in three-month follow-up period. Conclusion. Neurolitic blockade is an efficacious method in treating chronic pain caused by the idiopathic obturator neuralgia.http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500806492C.pdfobturator nerveneuralgianerve blocktreatment outcome
spellingShingle Ćulafić Slobodan
Spaić Milan
Zoranović Uroš
Mišović Sidor
Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
Vojnosanitetski Pregled
obturator nerve
neuralgia
nerve block
treatment outcome
title Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
title_full Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
title_fullStr Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
title_full_unstemmed Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
title_short Neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
title_sort neurolytic blockade of the obturator nerve in the treatment of idiopatic obturator neuralgia
topic obturator nerve
neuralgia
nerve block
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500806492C.pdf
work_keys_str_mv AT culaficslobodan neurolyticblockadeoftheobturatornerveinthetreatmentofidiopaticobturatorneuralgia
AT spaicmilan neurolyticblockadeoftheobturatornerveinthetreatmentofidiopaticobturatorneuralgia
AT zoranovicuros neurolyticblockadeoftheobturatornerveinthetreatmentofidiopaticobturatorneuralgia
AT misovicsidor neurolyticblockadeoftheobturatornerveinthetreatmentofidiopaticobturatorneuralgia