Pougnard-Bellec F, Rolland Y, Morel D, Meadeb J, Marin F, Duvauferrier R
Département de Radiologie, Hôpital Sud, BP 90347, 35203 Rennes Cedex, France.
J Radiol. 2002 Feb;83(2 Pt 1):133-9.
The purpose of the study is to evaluate the efficacy of C1-C2 block from a posterior parasagittal approach to treat Arnold neuralgia.
24 patients have been interviewed after 33 blocks were performed. The mean delay was 22 months. The posterior approach had always been performed using fluoroscopy. 27 blocks were performed with Hydrocortancyl((R)), 6 with Altim((R)).
71% of patients were symptomatically improved after one month, 62% after 3 months and more than 50% after one year. Using a visual analogue scale, pain was reduced of 5.8, i.e. 70% of patients were improved. An important reduction of pain killer requirements was noted for improved patients, patients with pain recurrence asked for a new infiltration. No significant side effect was noted.
Our method seems to be an efficient alternative to blocks performed on the origin of the nerve and to surgical treatment.
本研究的目的是评估经后矢状旁入路进行C1 - C2阻滞治疗阿诺德神经痛的疗效。
在进行33次阻滞后对24例患者进行了访谈。平均延迟时间为22个月。后入路一直采用荧光透视引导进行。使用氢化可的松（商标名）进行了27次阻滞，使用阿替美松（商标名）进行了6次阻滞。
71%的患者在1个月后症状改善，3个月后为62%，1年后超过50%。使用视觉模拟量表，疼痛减轻了5.8，即70%的患者病情得到改善。病情改善的患者对止痛药的需求显著减少，疼痛复发的患者需要再次进行浸润治疗。未观察到明显的副作用。
我们的方法似乎是对神经起源处进行阻滞及手术治疗的一种有效替代方法。
