Pérez RML, García RA

Language: Spanish
References: 10
Page: 65-69
PDF size: 70.05 Kb.

ABSTRACT

Introduction: pudendal nerve entrapment (PNE) is generally unknown syndrome and usually not well-diagnosed, or it is confused with other illnesses. It was first described by Amarenco in 1987. The classic clinical manifestation is pudendal nerve neuralgia, a neuropathic pain in the genital area.
Objective: present the satisfactory clinical evolution of a female patient with neuropathic pain due to entrapment of her pudendal nerve, after being performed a caudal block, supplemented with pharmacological treatment.
Case report: a 38-year-old healthy female patient who began presenting neuropathic pain in her anal and vaginal areas after natural childbirth. She received several treatments, without satisfactory results in a 5-year evolution. It was decided to perform a caudal block, with ultrasonographic guidance, until locating the needle tip to S2 level. 1 mL of triamcinolone acetonide and 1 mL of bupivacaine 0.25 % were then administered. This was performed in three occasions in one-week intervals; after the third blockade, amitriptyline, gabapentin and baclofen for three months were also prescribed as oral medication.
Results: clinical improvement was evident a week after the treatment was started; and the patient was painless after the fourth week.
Conclusions: caudal block together with oral medications proved effective in PNE treatment.

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