Magnetic resonance neurography-guided nerve blocks for the diagnosis and treatment of chronic pelvic pain syndrome

Neuroimaging Clinics of North America

Volumn 24, Issue 1, 2014, Pages 211-234

  Fritz, Jan ^a   Chhabra, Avneesh ^b   Wang, Kenneth C ^a   Carrino, John A ^a  

^a JOHNS HOPKINS HOSPITAL   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

MR guidance; MR neurography (MRN); Nerve block; Pain injection; Piriformis syndrome; Posterior femoral cutaneous nerve block; Pudenda nervel block

Indexed keywords

ANESTHETIC AGENT; BOTULINUM TOXIN A; BUPIVACAINE; CORTICOSTEROID; DEXAMETHASONE; GADOLINIUM; LIDOCAINE; PLACEBO; STEROID;

CHRONIC PAIN; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; FACE VALIDITY; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMORAL NERVE; FLUOROSCOPY; HUMAN; MAGNETIC RESONANCE FLUOROSCOPY; MAGNETIC RESONANCE NEUROGRAPHY; MERALGIA PARESTHETICA; NERVE BLOCK; NERVE COMPRESSION; NEURILEMOMA; NEUROGRAPHY; NUCLEAR MAGNETIC RESONANCE IMAGING; OBTURATOR NERVE; PAIN ASSESSMENT; PELVIS PAIN SYNDROME; PERIPHERAL NEUROPATHY; PIRIFORMIS SYNDROME; PRIORITY JOURNAL; PUDENDAL NERVE; RADIATION EXPOSURE; RADIATION SAFETY; REVIEW;

MR GUIDANCE; MR NEUROGRAPHY (MRN); NERVE BLOCK; PAIN INJECTION; PIRIFORMIS SYNDROME; POSTERIOR FEMORAL CUTANEOUS NERVE BLOCK; PUDENDA NERVEL BLOCK;

ANESTHETICS, LOCAL; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING, INTERVENTIONAL; NERVE BLOCK; NEUROIMAGING; PELVIC PAIN; PERIPHERAL NERVOUS SYSTEM DISEASES; SYNDROME; TREATMENT OUTCOME;

EID: 84887147256     PISSN: 10525149     EISSN: 15579867     Source Type: Journal    
DOI: 10.1016/j.nic.2013.03.028     Document Type: Review

References (105)

1. Latthe P., Mignini L., Gray R., et al. Factors predisposing women to chronic pelvic pain: systematic review. BMJ 2006, 332(7544):749-755.
2. Fall M., Baranowski A.P., Elneil S., et al. EAU guidelines on chronic pelvic pain. Eur Urol 2010, 57(1):35-48.
3. Mathias S.D., Kuppermann M., Liberman R.F., et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 1996, 87(3):321-327.
4. Harris R.D., Holtzman S.R., Poppe A.M. Clinical outcome in female patients with pelvic pain and normal pelvic US findings. Radiology 2000, 216(2):440-443.
5. Reiter R.C., Gambone J.C. Demographic and historic variables in women with idiopathic chronic pelvic pain. Obstet Gynecol 1990, 75(3 Pt 1):428-432.
6. ACOG Committee on Practice Bulletins-Gynecology ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol 2004, 103(3):589-605.
7. Bogduk N. International Spinal Injection Society guidelines for the performance of spinal injection procedures. Part 1: zygapophysial joint blocks. Clin J Pain 1997, 13(4):285-302.
8. Filler A.G. Diagnosis and treatment of pudendal nerve entrapment syndrome subtypes: imaging, injections, and minimal access surgery. Neurosurg Focus 2009, 26(2):E9.
9. Lee H.M., Weinstein J.N., Meller S.T., et al. The role of steroids and their effects on phospholipase A2. An animal model of radiculopathy. Spine (Phila Pa 1976) 1998, 23(11):1191-1196.
10. Losel R., Wehling M. Nongenomic actions of steroid hormones. Nat Rev Mol Cell Biol 2003, 4(1):46-56.
11. Chhabra A., Lee P.P., Bizzell C., et al. 3 Tesla MR neurography-technique, interpretation, and pitfalls. Skeletal Radiol 2011, 40(10):1249-1260.
12. Howe F.A., Filler A.G., Bell B.A., et al. Magnetic resonance neurography. Magn Reson Med 1992, 28(2):328-338.
13. Carrino J.A., Blanco R. Magnetic resonance-guided musculoskeletal interventional radiology. Semin Musculoskelet Radiol 2006, 10(2):159-174.
14. Fritz J., Pereira P.L. MR-Guided pain therapy: principles and clinical applications. Rofo 2007, 179(9):914-924. [in German].
15. Fritz J., Thomas C., Clasen S., et al. Freehand real-time MRI-guided lumbar spinal injection procedures at 1.5 T: feasibility, accuracy, and safety. AJR Am J Roentgenol 2009, 192(4):W161-W167.
16. Brenner D.J., Hall E.J. Computed tomography-an increasing source of radiation exposure. NEngl J Med 2007, 357(22):2277-2284.
17. Fritz J., Thomas C., Tzaribachev N., et al. MRI-guided injection procedures of the temporomandibular joints in children and adults: technique, accuracy, and safety. AJR Am J Roentgenol 2009, 193(4):1148-1154.
18. Fritz J., Henes J.C., Thomas C., et al. Diagnostic and interventional MRI of the sacroiliac joints using a 1.5-T open-bore magnet: a one-stop-shopping approach. AJR Am J Roentgenol 2008, 191(6):1717-1724.
19. Fritz J., Tzaribachev N., Thomas C., et al. Evaluation of MR imaging guided steroid injection of the sacroiliac joints for the treatment of children with refractory enthesitis-related arthritis. Eur Radiol 2011, 21(5):1050-1057.
20. Sodickson A., Baeyens P.F., Andriole K.P., et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 2009, 251(1):175-184.
21. Filler A.G., Haynes J., Jordan S.E., et al. Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. JNeurosurg Spine 2005, 2(2):99-115.
22. Fritz J., Niemeyer T., Clasen S., et al. Management of chronic low back pain: rationales, principles, and targets of imaging-guided spinal injections. Radiographics 2007, 27(6):1751-1771.
23. Fritz J., Clasen S., Boss A., et al. Real-time MR fluoroscopy-navigated lumbar facet joint injections: feasibility and technical properties. Eur Radiol 2008, 18(7):1513-1518.
24. Sequeiros R.B., Ojala R.O., Klemola R., et al. MRI-guided periradicular nerve root infiltration therapy in low-field (0.23-T) MRI system using optical instrument tracking. Eur Radiol 2002, 12(6):1331-1337.
25. Smith K.A., Carrino J. MRI-guided interventions of the musculoskeletal system. JMagn Reson Imaging 2008, 27(2):339-346.
26. Chhabra A., Soldatos T., Andreisek G. Lumbosacral plexus. Magnetic resonance neurography 2012, 161-181. Jaypee Brothers Medical Publishers, New Delhi (India). A. Chhabra, G. Andreisek (Eds.).
27. Chhabra A., Chalian M., Andreisek G. Magnetic resonance neurography of tunnels - Part II: lower extremity nerves. Magnetic resonance neurography 2012, 73-111. Jaypee Brothers Medical Publishers, New Delhi (India). A. Chhabra, G. Andreisek (Eds.).
28. Chhabra A., Williams E.H., Wang K.C., et al. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR Am J Neuroradiol 2010, 31(8):1363-1368.
29. Thawait S.K., Chaudhry V., Thawait G.K., et al. High-resolution MR neurography of diffuse peripheral nerve lesions. AJNR Am J Neuroradiol 2011, 32(8):1365-1372.
30. Thawait S.K., Wang K., Subhawong T.K., et al. Peripheral nerve surgery: the role of high-resolution MR neurography. AJNR Am J Neuroradiol 2012, 33(2):203-210.
31. Wadhwa V., Thakkar R.S., Maragakis N., et al. Sciatic nerve tumor and tumor-like lesions-uncommon pathologies. Skeletal Radiol 2012, 41(7):763-774.
32. Kanal E., Borgstede J.P., Barkovich A.J., et al. American College of Radiology White Paper on MR Safety: 2004 update and revisions. AJR Am J Roentgenol 2004, 182(5):1111-1114.
33. Shellock F.G., Kanal E. Guidelines and recommendations for MR imaging safety and patient management. III. Questionnaire for screening patients before MR procedures. The SMRI Safety Committee. JMagn Reson Imaging 1994, 4(5):749-751.
34. Shellock F.G., Crues J.V. MR procedures: biologic effects, safety, and patient care. Radiology 2004, 232(3):635-652.
35. Dempsey M.F., Condon B., Hadley D.M. Investigation of the factors responsible for burns during MRI. JMagn Reson Imaging 2001, 13(4):627-631.
36. Lewin J.S., Duerk J.L., Jain V.R., et al. Needle localization in MR-guided biopsy and aspiration: effects of field strength, sequence design, and magnetic field orientation. AJR Am J Roentgenol 1996, 166(6):1337-1345.
37. Lufkin R., Teresi L., Chiu L., et al. Atechnique for MR-guided needle placement. AJR Am J Roentgenol 1988, 151(1):193-196.
38. Ludeke K.M., Roschmann P., Tischler R. Susceptibility artefacts in NMR imaging. Magn Reson Imaging 1985, 3(4):329-343.
39. Ojala R., Vahala E., Karppinen J., et al. Nerve root infiltration of the first sacral root with MRI guidance. JMagn Reson Imaging 2000, 12(4):556-561.
40. Safriel Y., Ali M., Hayt M., et al. Gadolinium use inspine procedures for patients with allergy to iodinated contrast-experience of 127 procedures. AJNR Am J Neuroradiol 2006, 27(6):1194-1197.
41. Shetty S.K., Nelson E.N., Lawrimore T.M., et al. Use of gadolinium chelate to confirm epidural needle placement in patients with an iodinated contrast reaction. Skeletal Radiol 2007, 36(4):301-307.
42. Butterworth J.F., Strichartz G.R. Molecular mechanisms of local anesthesia: a review. Anesthesiology 1990, 72(4):711-734.
43. Craig A.D. How do you feel? Interoception: the sense of the physiological condition of the body. Nat Rev Neurosci 2002, 3(8):655-666.
44. Gray H., Lewis W.H. Anatomy of the human body 2000, Bartleby.com, New York. 20th edition.
45. Kendir S., Akkaya T., Comert A., et al. The location of the obturator nerve: a three-dimensional description of the obturator canal. Surg Radiol Anat 2008, 30(6):495-501.
46. Bradshaw C., McCrory P. Obturator nerve entrapment. Clin J Sport Med 1997, 7(3):217-219.
47. Birnbaum K., Prescher A., Hessler S., et al. The sensory innervation of the hip joint-an anatomical study. Surg Radiol Anat 1997, 19(6):371-375.
48. Tipton J.S. Obturator neuropathy. Curr Rev Musculoskelet Med 2008, 1(3-4):234-237.
49. House C.V., Ali K.E., Bradshaw C., et al. CT-guided obturator nerve block via the posterior approach. Skeletal Radiol 2006, 35(4):227-232.
50. Macalou D., Trueck S., Meuret P., et al. Postoperative analgesia after total knee replacement: the effect of an obturator nerve block added to the femoral 3-in-1 nerve block. Anesth Analg 2004, 99(1):251-254.
51. Wassef M.R. Interadductor approach to obturator nerve blockade for spastic conditions of adductor thigh muscles. Reg Anesth 1993, 18(1):13-17.
52. Akkaya T., Ozturk E., Comert A., et al. Ultrasound-guided obturator nerve block: a sonoanatomic study of a new methodologic approach. Anesth Analg 2009, 108(3):1037-1041.
53. Viel E.J., Perennou D., Ripart J., et al. Neurolytic blockade of the obturator nerve for intractable spasticity of adductor thigh muscles. Eur J Pain 2002, 6(2):97-104.
54. Heywang-Kobrunner S.H., Amaya B., Okoniewski M., et al. CT-guided obturator nerve block for diagnosis and treatment of painful conditions of the hip. Eur Radiol 2001, 11(6):1047-1053.
55. Stav K., Dwyer P.L., Roberts L. Pudendal neuralgia. Fact or fiction?. Obstet Gynecol Surv 2009, 64(3):190-199.
56. Labat J.J., Riant T., Robert R., et al. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn 2008, 27(4):306-310.
57. Lefaucheur J.P., Labat J.J., Amarenco G., et al. What is the place of electroneuromyographic studies in the diagnosis and management of pudendal neuralgia related to entrapment syndrome?. Neurophysiol Clin 2007, 37(4):223-228.
58. Filippiadis D.K., Velonakis G., Mazioti A., et al. CT-guided percutaneous infiltration for the treatment of Alcock's neuralgia. Pain Physician 2011, 14(2):211-215.
59. Romanzi L. Techniques of pudendal nerve block. JSex Med 2010, 7(5):1716-1719.
60. Thoumas D., Leroi A.M., Mauillon J., et al. Pudendal neuralgia: CT-guided pudendal nerve block technique. Abdom Imaging 1999, 24(3):309-312.
61. Rofaeel A., Peng P., Louis I., et al. Feasibility of real-time ultrasound for pudendal nerve block in patients with chronic perineal pain. Reg Anesth Pain Med 2008, 33(2):139-145.
62. Tubbs R.S., Miller J., Loukas M., et al. Surgical and anatomical landmarks for the perineal branch of the posterior femoral cutaneous nerve: implications in perineal pain syndromes. Laboratory investigation. JNeurosurg 2009, 111(2):332-335.
63. Darnis B., Robert R., Labat J.J., et al. Perineal pain and inferior cluneal nerves: anatomy and surgery. Surg Radiol Anat 2008, 30(3):177-183.
64. Hughes P.J., Brown T.C. An approach to posterior femoral cutaneous nerve block. Anaesth Intensive Care 1986, 14(4):350-351.
65. Barbero C., Fuzier R., Samii K. Anterior approach to the sciatic nerve block: adaptation to the patient's height. Anesth Analg 2004, 98(6):1785-1788.
66. Chelly J.E., Delaunay L. Anew anterior approach to the sciatic nerve block. Anesthesiology 1999, 91(6):1655-1660.
67. De Tran Q.H., Clemente A., Finlayson R.J. Areview of approaches and techniques for lower extremity nerve blocks. Can J Anaesth 2007, 54(11):922-934.
68. Beason L., Anson B. The relation of the sciatic nerve and its subdivisions to the piriformis muscle. Anat Rec 1937, 70:1-5.
69. Smoll N.R. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clin Anat 2010, 23(1):8-17.
70. Gelfand H.J., Ouanes J.P., Lesley M.R., et al. Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis. JClin Anesth 2011, 23(2):90-96.
71. Rohen J.W., Yokochi C., Ltjen-Drecoll E. Color atlas of anatomy a photographic study of the human body 2002, Lippincott Williams & Wilkins, Philadelphia. 5th edition.
72. Robinson D. Piriformis syndrome in relation to sciatic pain. Am J Surg 1947, 73:355-358.
73. Fishman L.M., Anderson C., Rosner B. BOTOX and physical therapy in the treatment of piriformis syndrome. Am J Phys Med Rehabil 2002, 81(12):936-942.
74. Halpin R.J., Ganju A. Piriformis syndrome: a real pain in the buttock?. Neurosurgery 2009, 65(Suppl 4):A197-A202.
75. Russell J.M., Kransdorf M.J., Bancroft L.W., et al. Magnetic resonance imaging of the sacral plexus and piriformis muscles. Skeletal Radiol 2008, 37(8):709-713.
76. Benzon H.T., Katz J.A., Benzon H.A., et al. Piriformis syndrome: anatomic considerations, a new injection technique, and a review of the literature. Anesthesiology 2003, 98(6):1442-1448.
77. Blasi J., Chapman E.R., Link E., et al. Botulinum neurotoxin A selectively cleaves the synaptic protein SNAP-25. Nature 1993, 365(6442):160-163.
78. Childers M.K., Wilson D.J., Gnatz S.M., et al. Botulinum toxin type A use in piriformis muscle syndrome: a pilot study. Am J Phys Med Rehabil 2002, 81(10):751-759.
79. Broadhurst N.A., Simmons D.N., Bond M.J. Piriformis syndrome: correlation of muscle morphology with symptoms and signs. Arch Phys Med Rehabil 2004, 85(12):2036-2039.
80. Porta M. Acomparative trial of botulinum toxin type A and methylprednisolone for the treatment of myofascial pain syndrome and pain from chronic muscle spasm. Pain 2000, 85(1-2):101-105.
81. Grothaus M.C., Holt M., Mekhail A.O., et al. Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res 2005, (437):164-168.
82. Kosiyatrakul A., Nuansalee N., Luenam S., et al. The anatomical variation of the lateral femoral cutaneous nerve in relation to the anterior superior iliac spine and the iliac crest. Musculoskelet Surg 2010, 94(1):17-20.
83. de Ridder V.A., de L.S., Popta J.V. Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. JOrthop Trauma 1999, 13(3):207-211.
84. Aszmann O.C., Dellon E.S., Dellon A.L. Anatomical course of the lateral femoral cutaneous nerve and its susceptibility to compression and injury. Plast Reconstr Surg 1997, 100(3):600-604.
85. Murata Y., Takahashi K., Yamagata M., et al. The anatomy of the lateral femoral cutaneous nerve, with special reference to the harvesting of iliac bone graft. JBone Joint Surg Am 2000, 82(5):746-747.
86. Ray B., D'Souza A.S., Kumar B., et al. Variations in the course and microanatomical study of the lateral femoral cutaneous nerve and its clinical importance. Clin Anat 2010, 23(8):978-984.
87. Roth V. Meralgia paresthetica. Med Radiol (Mosk) 1895, 43:678.
88. Hui G.K., Peng P.W. Meralgia paresthetica: what an anesthesiologist needs to know. Reg Anesth Pain Med 2011, 36(2):156-161.
89. Alberti O., Wickboldt J., Becker R. Suprainguinal retroperitoneal approach for the successful surgical treatment of meralgia paresthetica. JNeurosurg 2009, 110(4):768-774.
90. Russo M.J., Firestone L.B., Mandler R.N., et al. Nerve conduction studies of the lateral femoral cutaneous nerve. Implications in the diagnosis of meralgia paresthetica. Am J Electroneurodiagn Technol 2005, 45(3):180-185.
91. Shannon J., Lang S.A., Yip R.W., et al. Lateral femoral cutaneous nerve block revisited. A nerve stimulator technique. Reg Anesth 1995, 20(2):100-104.
92. Ng I., Vaghadia H., Choi P.T., et al. Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg 2008, 107(3):1070-1074.
93. Aravindakannan T., Wilder-Smith E.P. High-resolution ultrasonography in the assessment of meralgia paresthetica. Muscle Nerve 2012, 45(3):434-435.
94. Oh C.S., Chung I.H., Ji H.J., et al. Clinical implications of topographic anatomy on the ganglion impar. Anesthesiology 2004, 101(1):249-250.
95. Plancarte R., Amescua C., Patt R. Presacral neurectomy of the ganglion impar (Ganglion of Walther). Anesthesiology 1990, 73:A751.
96. Agarwal-Kozlowski K., Lorke D.E., Habermann C.R. CT-guided blocks and neuroablation of the ganglion impar (Walther) in perineal pain: anatomy, technique, safety, and efficacy. Clin J Pain 2009, 25(7):570-576.
97. Toshniwal G.R., Dureja G.P., Prashanth S.M. Transsacrococcygeal approach to ganglion impar block for management of chronic perineal pain: a prospective observational study. Pain Physician 2007, 10(5):661-666.
98. Loev M.A., Varklet V.L., Wilsey B.L., et al. Cryoablation: a novel approach to neurolysis of the ganglion impar. Anesthesiology 1998, 88(5):1391-1393.
99. Wemm K., Saberski L. Modified approach to block the ganglion impar (ganglion of Walther). Reg Anesth 1995, 20(6):544-545.
100. Datir A., Connell D. CT-guided injection for ganglion impar blockade: a radiological approach to the management of coccydynia. Clin Radiol 2010, 65(1):21-25.
101. Ho K.Y., Nagi P.A., Gray L., et al. An alternative approach to ganglion impar neurolysis under computed tomography guidance for recurrent vulva cancer. Anesthesiology 2006, 105(4):861-862.
102. Wall P.D., Devor M. Sensory afferent impulses originate from dorsal root ganglia as well as from the periphery in normal and nerve injured rats. Pain 1983, 17(4):321-339.
103. Woolf C.J., Shortland P., Coggeshall R.E. Peripheral nerve injury triggers central sprouting of myelinated afferents. Nature 1992, 355(6355):75-78.
104. North R.B., Kidd D.H., Zahurak M., et al. Specificity of diagnostic nerve blocks: a prospective, randomized study of sciatica due to lumbosacral spine disease. Pain 1996, 65(1):77-85.
105. Riew K.D., Park J.B., Cho Y.S., et al. Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up. JBone Joint Surg Am 2006, 88(8):1722-1725.