Turkish Neurosurgery 2019 , Vol 29 , Num 4
Selective Spinal Nerve Block in Ilioinguinal, Iliohypogastric and Genitofemoral Neuralgia
Ahmet KALE1,Hande GURBUZ AYTULUK2,Isa CAM4,Gulfem BASOL1,Bahar SUNNETCI1
1University of Health Sciences, Derince Training and Research Hospital, Department of Gynecology and Obstetrics, Kocaeli, Turkey
2University of Health Sciences, Derince Training and Research Hospital, Department of Anesthesiology and Reanimation, Kocaeli, Turkey
3Kocaeli University Faculty of Medicine, Department of Anatomy, Kocaeli, Turkey
4University of Health Sciences, Derince Training and Research Hospital, Department of Radiology, Kocaeli, Turkey
DOI : 10.5137/1019-5149.JTN.23990-18.1 AIM: To seek the efficacy of selective spinal nerve blocks in the treatment of groin pain that are irresponsive to peripheral nerve blocks.

MATERIAL and METHODS: This retrospective study comprised 17 patients with ilioinguinal, iliohypogastric, and genitofemoral neuralgias treated between 2017 and 2018.

RESULTS: All patients received diagnostic peripheral nerve blocks and/or TAP blocks with blind or ultrasound-guided techniques. Four patients had ineffectual peripheral nerve blocks, after which they underwent T12 and L1 selective spinal nerve blocks. All four patients had satisfactory results.

CONCLUSION: If distal peripheral nerve blocks are ineffective, an upper level nerve lesion, a lesion in the lumbar plexus or an L1 radiculopathy should be considered in ilioinguinal, iliohypogastric, and genitofemoral neuralgias. Upper level nerve blocks should be performed before deciding on surgery. Keywords : Genitofemoral nerve, Groin pain, Iliohypogastric nerve, Ilioinguinal nerve, Nerve block, Pain, Selective spinal nerve block

Corresponding author : Hande GURBUZ AYTULUK, handegrbz@gmail.com