• Title/Summary/Keyword: Rami-communicans

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Rami Communicans Nerve Block for the Treatment of Symptomatic Schmorl's Nodes -A Case Report-

  • Jang, Ji-Su;Kwon, Hyung-Ki;Lee, Jae-Jun;Hwang, Sung-Mi;Lim, So-Young
    • The Korean Journal of Pain
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    • v.23 no.4
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    • pp.262-265
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    • 2010
  • Histologically, Schmorl's nodes are defined as the loss of nuclear material through the cartilage plate, growth plate, and end plate into the vertebral body. Most Schmorl's nodes are asymptomatic, although there are some reports of symptomatic Schmorl's nodes, which should be treated similarly to vertebral compression fractures, with conservative treatment as the first choice. We report the case that we reduced the pain by blocking the ramus communicans nerve in a patient with Schmorl's node.

Anatomical study on the branches of nervus ophthalmicus of the Korean native goat (한국재래산양의 눈신경 가지에 관한 해부학적 연구)

  • Lee, In-se;Lee, Heungshik S.;Yi, Seong-joon
    • Korean Journal of Veterinary Research
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    • v.32 no.4
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    • pp.457-462
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    • 1992
  • This study was carried out to investigate the branches and distribution of Nervus ophthalmicus of the Korean native goat. The observation was made by dissection of embalmed cadavers of ten Korean native goats. The results were as follows; 1. N. ophthalmicus arised from the trigeminal nerve in a common trunk with the maxillary nerve. 2. At the exit of the foramen orbitorotundum the N. ophthalmicus gave off Ramus zygomaticotemporalis, N. frontalis, Ramus sinuum frontalium and N. nasociliaris. 3. Ramus zygomaticotemporalis, after giving off N. lacrimalis, left the orbital cavity and gave off Rami cornuales which were distributed the caudolateral part of the base of the horn. 4. After giving off N. ciliaris longus and Ramus communicans cum ganglio ciliari, N. nasociliaris divided into N. ethmoidalis and N. infratrochlearis which gave off Rami cornuales.

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The Therapeutic Effect of Postganglionic Nerve Block for Symptomatic Schmorl Nodule: A Retrospective Case Series (증후성 쉬모를 결절에 대한 신경절 이후 신경차단술의 치료 효과: 후향적 증례 분석)

  • Son, In Seok;Hwang, Suk Hyun;Lee, Suk Ha;Kang, Min Seok
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.147-153
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    • 2018
  • Study Design: Retrospective case series. Objectives: We retrospectively evaluated the clinical efficacy of postganglionic nerve block in symptomatic Schmorl nodules (SNs). Summary of Literature Review: SNs are common lesions that are often asymptomatic. In certain cases, SNs have been reported to cause severe axial back pain, thereby considerably impacting patients' quality of life. No consensus currently exists on the treatment of symptomatic SNs. Materials and Methods: From October 2015 to October 2017, a total of 21 patients with symptomatic SNs diagnosed by magnetic resonance imaging (MRI) that did not respond to conservative treatment after 4 weeks were included in the study. All patients received postganglionic nerve block. We evaluated effective pain relief (improvement of back pain of more than 50% compared with before the intervention) and functional improvements, assessed by visual analogue scale (VAS) and Oswestry Disability Index scores obtained at 4 hours, 4 weeks, 8 weeks, 3 months, and 6 months after the procedure. Results: Symptomatic SNs were more common at the L2-3 level, and the lower end plate was more commonly involved than the upper end plate. Eighteen of the 21 patients (85.7%) showed effective pain relief, and no deterioration was observed within the followup period. Throughout the follow-up period, the VAS remained significantly improved compared to before the procedure (p<0.05). Complications were not reported in any cases. Conclusions: Postganglionic nerve block for symptomatic SNs that do not respond to conservative treatment is a non-invasive modality for pain relief.