Korean J Pain.
2011 Sep;24(3):164-168. 10.3344/kjp.2011.24.3.164.
Obturator Nerve Block with Botulinum Toxin Type B for Patient with Adductor Thigh Muscle Spasm: A Case Report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. painfree@snubh.org
- 2Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
- KMID: 2278106
- DOI: http://doi.org/10.3344/kjp.2011.24.3.164
Abstract
- Obturator nerve block has been commonly used for pain management to prevent involuntary reflex of the adductor thigh muscles. One of several options for this block is chemical neurolysis. Neurolysis is done with chemical agents. Chemical agents used in the neurolysis of the obturator nerve have been alcohol, phenol, and botulinum toxin. In the current case, a patient with spasticity of the adductor thigh muscle due to cervical cord injury had obturator nerve neurolysis done with botulinum toxin type B (BoNT-B). Most of the previous studies have used BoNT-A with only a few reports that have used BoNT-B. BoNT-B has several advantages and disadvantages over BoNT-A. Thus, we report herein a patient who successfully received obturator nerve neurolysis using BoNT-B to treat adductor thigh muscle spasm.
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