pictures of lumbar sympathectomy

lumbar radicular injection CT pictures

CT- Guided Interventional Pain

Managements

Ź Trigeminal
Neuralgia by CT-guided
Radiofrequency Thermocoagulation
Ź CT-guided Peri-Radicular Therapy (PRT)
Ź Percutaneous Chemical Sympathectomy
Ź Tumor Ablation with Neurolysis for Pain
Ź Discogram
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Źa
ႝတᘐቫᏤЇ෎໔ዬᠼᆢ
ᕉ዗ᕍԋ‫ೌ׎‬
 Indications for provocative
discography
Ź Suspect IDD
Ź Surgical planning --
surgical fusion/ IDET
Ź Identification of pain
generator among multiple
desiccated discs
Ź Confirm adjacent disc(s)
are normal
Ź (lateral disc herniation)
Ź as part of therapeutic
course
Internal disc disruption - imaging

Ź Desiccated(degenerated)
disc on T2 weighted MRI.
ƒ Not all desiccated discs are
painful!!!
ƒ (Aprill C & Bogduk N, BJR, 1992)

Ź High Intensity Zone (HIZ)

ƒ high correlation w/outer
annulus rupture by
CT/Discography
Ź However, only 54% of
ruptured discs have an HIZ
IDET SpineCath Delivery System
Ź Energy Source
ƒ Thermal resistive coil
Ź Delivery method
ƒ Navigable Catheter
Ź Minimally Invasive
 Radiofrequency
thermocoagulation for TN
Trigeminal neuralgia
ဎ๚ϣൾ‫܄‬ဍዦ
ੵภ௓‫ڋ‬
Celiac plexus block
 Percutaneous Neurolysis
in Vascular Disorders
ŹCT-guided thoracic sympathectomy
ŹCT-guided lumbar sympathetic trunk
neurolysis for treatment of occlusive
arterial disease (OAD)
CT-guided Thoracic
Sympathectomy
CT-guided Lumbar
Sympathectomy
Źa
CT-guided Preiradicular
Therapy
 z
Źz
 T-spine
Ź Post-herpetic neuralgia
Źf
Chronic Pain Syndrome
in Pelvis