Neuroradiology

, 51:163

Evaluation of the effectiveness of CT-guided infiltration in the treatment of Arnold’s neuralgia

  • Sébastien Aubry
  • Bruno Kastler
  • Vincent Bier
  • Vassil Hadjidekov
  • Hussein Haj Hussein
  • Bernard Fergane
Interventional Neuroradiology

Abstract

Introduction

The aim of this study was to evaluate the effectiveness of computed tomography (CT)-guided infiltration in the treatment of Arnold's neuralgia.

Methods

A retrospective study included 31 patients suffering from Arnold's neuralgia and having undergone a total of 45 CT-guided infiltrations of the greater occipital nerve (GON), in a proximal site (emergence of the GON, technique 1, n = 24) or in two proximal sites (emergence of the GON and at the site of the first bend of the GON drawn by the GON, technique 2, n = 21). Infiltration was considered to be effective when pain relief was equal to or greater than 50% for at least 1 month.

Results

There was no significant difference between the two techniques regarding immediate pain relief effect (53.3% for technique 1 vs. 60.5% for technique 2, p = 0.5), but technique 2 yielded better persistence of pain relief effect (p = 0.01), leading to a significantly higher percentage of effective infiltrations with technique 2 (p = 0.03).

Conclusion

Infiltrations carried out in a single site yield results that are comparable to those previously published. Infiltrations in two sites provide significantly better results and should now be preferred to other single-site techniques in order to reduce the rate of failure or recurrence of Arnold's neuralgia.

Keywords

Cervicogenic headache CT Treatment Interventional Arnold's neuralgia 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Sébastien Aubry
    • 1
    • 2
  • Bruno Kastler
    • 2
    • 3
  • Vincent Bier
    • 3
  • Vassil Hadjidekov
    • 4
  • Hussein Haj Hussein
    • 3
  • Bernard Fergane
    • 5
  1. 1.Département de RadiologieCHU SherbrookeSherbrookeCanada
  2. 2.Laboratoire Intervention, Imagerie, Ingénierie et Innovation en SantéUniversité de Franche-ComtéBesançonFrance
  3. 3.Service de Radiologie ACHU Jean MinjozBesançonFrance
  4. 4.Radiology DepartmentAlexandrovska HospitalSofiaBulgaria
  5. 5.Centre d’Evaluation et de Traitement de la DouleurCHU Jean MinjozBesançonFrance

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