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. 2003 Oct 10;9(Suppl 2):67-73.
doi: 10.1177/15910199030090S210. Epub 2004 Oct 22.

Interventional Procedures Under CT Guidance in Pain Management. (Cementoplasty Excluded)

B Kastler  1 , B Fergane
Affiliations

Interventional Procedures Under CT Guidance in Pain Management. (Cementoplasty Excluded)

B Kastler et al. Interv Neuroradiol. .
No abstract available

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Figures

Figure 1
Figure 1
RF neurolysis in a patient with cluster headache. Needle is placed under step by step CT guidance (at target within the pterygopalatine fossa).
Figure 2
Figure 2
RF neurolysis. Male patient 39 years old. Three fingers of the left hand were sliced off in a chain saw accident. They were re-attached surgically. The patient experienced residual ischemic disorders and invalidating chronic pain. Excellent results were obtained following the RF ablation at both levels: the C-7 vertebra (A) and the neck of the first rib (T-l vertebra (B).
Figure 3
Figure 3
Alcohol neurolysis. Male patient 45 years old. Extruding vascularized mass corresponding to an advanced throat cancer. The patient was suffering from severe intractable cervical pain. Excellent results were obtained for the pain immediately following the procedure.
Figure 4
Figure 4
Celiac plexus neurolysis in a patient with pancreas cancer using a posterior transcrural approach.
Figure 5
Figure 5
Celiac plexus via a anterior approach.
Figure 6
Figure 6
A) Needle tip in place at the level of the ischiatic spine between the sacrotuberal and sacrospinal ligaments. B) Needle tip in place at the Alcock’s canal.
Figure 7
Figure 7
Periradicular steroid infiltration at the level of right L4-L5.
Figure 8
Figure 8
Epidural steroid infiltration at the L5 Level (on the right arrow)
See this image and copyright information in PMC

References

    1. Kastler B, Gangi A. Optimizing Interventional procedures under CT-guidance. Tips and Hints; Scientific exhibit presented at the Radiological Society of North America, 81st Scientific Assembly and Annual Meeting; Chicago. 1995.
    1. Clair C, Kastler B, et al. Neurolyse du ganglion sphénopalatin sous contrêle tomodensitométrique. Radiologic J CEPUR; (Pterygopalatine ganglion neurolysis under CT guidance) Scientific Exhibit presented at RSNA; 1997.1998.
    1. Gregoire A, Clair C, et al. Névralgie faciale essentielle traitée par neurolyse du ganglion sphéno-palatin sous contrêle tomodensitometrique. J Radiol. 2002;83:1082–1084. - PubMed
    1. Kitrelle JP, Grouse DS, Seybold ME. Cluster Headache. Local Anesthetic Abortive Agents. Arch Neurol. 1985;42:496–498. - PubMed
    1. Meyer JJ, Binns PM, et al. Sphenopalatine Ganglionectomy for Cluster Headache. Arch Otol. 1970;90:475–484. - PubMed

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