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Case Reports
Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient.
- E Yalcin, M Akyuz, O Ilgu, and N B Ozer.
- Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine & Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
- Spinal Cord. 2014 Aug 1;52 Suppl 2:S24-6.
Study DesignA case report defining an interventional procedure.ObjectivesTo reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve.SettingThe study was conducted in Ankara, Turkey.MethodsA paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography.ResultsAfter treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced.ConclusionUltrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve.
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