naa a22 4500 510743056 CHVBK 20180411083035.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s12630-013-9987-6 doi (NATIONALLICENCE)springer-10.1007/s12630-013-9987-6 Ultrasound-guided perineural steroid injection to treat intractable pain due to sciatic nerve injury [Elektronische Daten] [Jia-Chi Wang, Hong-Jen Chiou, Jen-Her Lu, Yung-Cheng Hsu, Rai-chi Chan, Tsui-Fen Yang] Injection périneurale échoguidée de stéroïdes pour le traitement de la douleur rebelle due à une lésion du nerf sciatique Purpose: Sciatic neuropathy is a rare but serious complication of cardiac surgery. Neuropathic pain following nerve injury can be severely debilitating and largely resistant to treatment. We present a case of this complication where ultrasound-guided perineural steroid injection at the site of the sciatic nerve injury provided excellent pain relief and facilitated subsequent rehabilitation. Clinical features: A 17-yr-old boy developed bilateral sciatic neuropathy after a nine-hour cardiac surgical procedure in the supine position, resulting in debilitating dysesthesia refractory to neuropathic pain therapies and leading to severe functional limitation. With magnetic resonance imaging of the lower extremities, the location of the lesion was determined to be from the level of the superior gemellus to the level of the quadratus femoris. An ultrasound-guided injection of triamcinolone 20mg and lidocaine 40mg around both sciatic nerves at the level of the lesion was administered two months after the surgery, and the pain score (rated on a scale 0-10) at rest decreased from 9-10 to 1 two weeks after the injection. Conclusions: There are a limited number of reports in the literature on sciatic nerve injuries associated with cardiac surgery. This case illustrates the efficacy of ultrasound-guided steroid injection around sciatic nerves at the level of superior gemellus in treating our patient's neuropathic pain. Canadian Anesthesiologists' Society, 2013 Wang Jia-Chi Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut Chiou Hong-Jen Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut Lu Jen-Her Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut Hsu Yung-Cheng Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut Chan Rai-chi Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut Yang Tsui-Fen Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/9(2013-09-01), 902-906 0832-610X 60:9<902 2013 60 12630 https://doi.org/10.1007/s12630-013-9987-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-9987-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wang Jia-Chi Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut NATIONALLICENCE 700 1- Chiou Hong-Jen Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut NATIONALLICENCE 700 1- Lu Jen-Her Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut NATIONALLICENCE 700 1- Hsu Yung-Cheng Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC aut NATIONALLICENCE 700 1- Chan Rai-chi Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut NATIONALLICENCE 700 1- Yang Tsui-Fen Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section2, Shih-Pai Road, Beitou District, 11217, Taipei, Taiwan, ROC aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/9(2013-09-01), 902-906 0832-610X 60:9<902 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer