Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient.

Abstract

A case report defining an interventional procedure. To reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve. The study was conducted in Ankara, Turkey. A paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography. After treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced. Ultrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve.