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Related Experiment Videos

[Peripheral neurolytic blocks and spasticity].

E Viel1, F Pellas, J Ripart

  • 1Département d'anesthésie et centre de la douleur, hôpital Caremeau, CHU, 30029 Nîmes, France. eric.viel@chu-nimes.fr

Annales Francaises D'Anesthesie Et De Reanimation
|June 14, 2005
PubMed
Summary
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Peripheral nerve blockade effectively treats muscle spasticity using neurolysis with ethanol or phenol. This minimally invasive technique accurately targets nerves, offering a successful solution for pain and disability from neurological conditions.

Area of Science:

  • Neurology
  • Interventional Pain Management

Context:

  • Spasticity, a common symptom following neurological injuries like stroke or spinal trauma, causes significant pain and disability, hindering rehabilitation.
  • Percutaneous nerve stimulation (PNS) combined with neurolysis offers a therapeutic option for managing debilitating muscle spasticity.
  • Accurate nerve localization is crucial for effective neurolytic procedures.

Purpose:

  • To evaluate the efficacy and safety of percutaneous nerve blockade with neurolysis for treating spasticity.
  • To describe the technique of using PNS and intraneural injections of ethanol or phenol for nerve ablation.
  • To highlight the application of this method in managing spastic sequelae of various neurological conditions.

Summary:

  • Percutaneous nerve stimulation enables precise identification of motor nerves for neurolysis via intraneural injection of ethanol or phenol.

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  • Commonly targeted nerves include the pectoral, median, obturator, and tibial nerves, with specific attention to the obturator nerve for adductor spasticity.
  • The procedure, often guided by fluoroscopy and nerve stimulation, demonstrated high success rates, accuracy, and reproducibility with minimal side effects.

    • Impact:

    • Percutaneous neurolytic procedures provide an accurate, fast, and simple method for alleviating spasticity-related pain and disability.
    • Early intervention in painful and disabling spasticity is recommended for patients with neurological sequelae.
    • This technique improves patient outcomes and facilitates rehabilitation by reducing muscle overactivity.