Disease whether it is acute, chronic, or at end stage, is all too regularly accompanied by pain. Pain is often difficult to control, in malignant disease in particular, even by using appropriate medications. Anesthesiologists and pain therapists have developed new invasive therapies including nerve block, sympatholysis, and neurolysis useful for both diagnosis and pain management. To insure the efficiency and safety of these procedures, and furthermore for elaborate techniques such as vertebroplasty, cementoplasty, and radio frequency bone ablation, imaging guidance becomes mandatory. This state-of-the-art book describes the techniques elaborated by interventional radiologists in the treatment and palliation of a variety of benign and malignant painful conditions. Each chapter written by an expert in the field concentrates on a particular aspect of pain management, with emphasis on practical issues. This book will serve as an invaluable source of information for the radiologist willing to learn about new pain therapy techniques aimed at optimizing or replacing more invasive traditional methods.
Table des matières
Evaluating and Managing Pain in a Pain Management Center.- Pain and Psyche.- Computertomography-guided Percutaneous Interventions.- Complications and Patient Management.- Foraminal Injections of Corticosteroids Under Tomodensitometric Control.- Spinal Infiltrations: Technical Difficulties and Potential Complications.- Trigeminal Neuralgia.- Arnold’s Neuralgia.- Pterygopalatine Ganglion Neurolysis Under CT Guidance.- Stellate Ganglion Neurolysis Under CT-Guidance.- Percutaneous Neurolysis of the Celiac Plexus and Splanchnic Nerves.- Other Sympatholysis.- Pudendal Nerve Infiltration Under CT Guidance.- Injection of Inguinofemoral Nerves.- Vertebroplasty and Cementoplasty.- Aspiration and Lavage of Calcific Shoulder Tendinitis.- Other Analgesic Bone Procedures.- Fractures of the Pelvic Girdle: CT-guided Percutaneous Fixation.- Interventional Magnetic Resonance Imaging in Pain Therapy.- Treating Painful Osseous Metastases by Internal Radiation Therapy.
A propos de l’auteur
Bruno Kastler, MD, MS (physics) is Chief of Radiology and Director of the bioengineering laboratory in Besancon, France. He has been involved in pain treatment and promoting new radiological interventional techniques for over 15 years.
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