The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Percutaneous C2 Ganglionotomy in the Management of Occipital Neuralgia -A case report-

후두신경통 환자에서 시행한 경피적 제2경추신경절 절제술 -증례 보고-

  • Lim, So-Young (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
  • Kim, Su-Gwan (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
  • Shin, Keun-Man (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
  • Hong, Soon-Yong (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
  • Choi, Young-Ryong (Pain Clinic, Department of Anesthesiology, Hallym University Medical College)
  • 임소영 (한림대학교 의과대학 마취과학교실 통증클리닉) ;
  • 김수관 (한림대학교 의과대학 마취과학교실 통증클리닉) ;
  • 신근만 (한림대학교 의과대학 마취과학교실 통증클리닉) ;
  • 홍순용 (한림대학교 의과대학 마취과학교실 통증클리닉) ;
  • 최영룡 (한림대학교 의과대학 마취과학교실 통증클리닉)
  • Published : 1996.06.01
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Abstract

Radiofrequency thermocoagulation(RF) techniques are safe and effective methods as compared to neurodestructive procedure. Other advantages are: ability to perform RF lesions under local or sedative anesthesia, rapid recovery period, low incidence of morbidity and mortality, ability to repeat RF lesions, and leaves no significant scarring. We performed C2 ganglionotomy by RF lesion generator on a patient, suffering post-traumatic occipital neuralgia, as the patient did not respond to conservative therapies such as: trigger point injection, TENS, cryotherapy and stretch, occipital nerve block, C2 ganglion block. Prognostic nerve block was performed usng local anesthetics. Excellent effect was conformed before C2 ganglionotomy. This procedure was performed under fluoroscopy. Type RCK-2A Rosomoff Cordotomy kit was used to stabilize the head and neck. Postoperatively, the patient was free of occipital pain and head motions no longer triggered pain. To date, the patient remains symptom free except for some cervical discomfort.

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