Rajendra KUMAR SAHOO, Ashok JADON, Abhijit NAİR, Arif AHMED, Debasis GİRİ, Rajesh KAR

Yüzeyel peroneal sinir tuzak nöropatisi ve pulse radyofrekans nöromodülasyonunun rolü

Tuzak nöropatisine sekonder periferik nöropati nadir görülen bir durum değildir. Tuzak nöropatisi, travma veya cerrahiyi ta- kiben sık görülen bir durumdur ve önemli bir tanısal zorluk teşkil eder. Tuzak nöropatisi (TN) standart nöropatik ilaçlara yanıt vermeyebilir ve invaziv tedavi gerektirebilir. Pulse radyofrekans (PRF) uygulaması yeni bir modalitedir ve geleneksel radyof- rekans ablasyonundan farklı olarak nöral ablasyona neden olmadığı için birçok TN’nde popülerlik kazanmaktadır. Bu yazıda, şiddetli alt lateral bacak ağrısı ile başvuran, yüzeyel peroneal sinir (YPN) TN’nden şüphelenilen ve ultrason eşliğinde tanısal YPN enjeksiyonu ile tanısı doğrulayan genç bir hasta sunulmaktadır. Pulse radyofrekans nöromodülasyonu yapılan hasta, ağrısı uzun süreli rahatladı.

Superficial peroneal nerve entrapment neuropathy and role of pulsed radiofrequency neuromodulation

Peripheral neuropathy secondary to entrapment of the nerves is not an uncommon etiology. Nerve entrapment is a common occurrence following trauma or surgery and poses significant diagnostic challenge. Entrapment neuropathy (EN) may not respond to standard neuropathic medication and may need invasive treatment. Pulsed radiofrequency (PRF) application is a recent modality and is gaining popularity for many EN as it does not cause neural ablation unlike conventional radiofrequency ablation. In this report, we present a case of young patient who presented with severe lower lateral leg pain in whom superfi- cial peroneal nerve (SPN) EN was suspected and diagnostic SPN injection under ultrasound guidance confirmed the diagnosis. He subsequently underwent PRF neuromodulation and experienced long-lasting pain relief.

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