Bloqueo analgésico guiado por tomografía computarizada como opción terapéutica en la neuralgia del nervio puden

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Authors: Pedro Arnulfo Chavira Ramos, Diana Chávez Lizárraga, Ricardo Axel Gómez López, Sergio Díaz Bello, Emmanuel Cantú Chávez, Ana Sofía Peña Blesa, Edgar Rogelio Austria Franco, Heriberto Hernández-Fraga, Jesús Alberto Pérez Contreras
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References: 4

Abstract

Introduction: it's suggested to use Nantes criteria, image and neurophysiology studies to rule out differential diagnoses.Clinical case: 25-year-old female, lumbar pain, radiating to right gluteal and dyspareunia.Three of the five Nantes criteria were integrated and no response to conservative treatment.Electromyography reports demyelinating sensory neuropathy of the right pudendal nerve.An analgesic block of the pudendal nerve guided by tomography was made.Results: follow-up after two and four months showed 90% improvement, decreased pain, no dyspareunia, VAS 2 of 10 and ODI 10%.Conclusions: diagnostic suspicion is crucial for the timely management of pudendal nerve neuralgia.

Fields of Study & Subjects

Pain Management and Treatment Peripheral Nerve Disorders Anesthesia and Pain Management

Publication details

Journal / source
Acta Médica Grupo Ángeles
Volume
24
Issue
2
Pages
168–171
Publication date
1 January 2026
Language
ES