Prague Med. Rep. 2012, 113, 53-57

https://doi.org/10.14712/23362936.2015.37

Blockade of the Ganglion Impar (Walther), Using Ultrasound and a Loss of Resistance Technique

P. J. Johnston1, Pavel Michálek2

1Department of Anaesthetics, Antrim Area Hospital, Antrim, United Kingdom
2Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic

Received September 7, 2011
Accepted January 16, 2012

References

1. Agarwal-Kozlowski, K., Lorke, D. E., Habermann, C. R., Am Esch, J. S., Beck, H. (2009) CT-guided blocks and neuroablation of the ganglion impar (Walther) in perineal pain: anatomy, technique, safety, and efficacy. Clin. J. Pain 25, 570–576. <https://doi.org/10.1097/AJP.0b013e3181a5f5c7>
2. Bhatnagar, S., Khanna, S., Roshni, S., Goyal, G. N., Mishra, S., Rana, S. P., Thulkar, S. (2012) Early ultrasoundguided neurolysis for pain management in gastrointestinal and pelvic malignancies: an observational study in a tertiary care center of urban India. Pain Pract. 12, 23–32. <https://doi.org/10.1111/j.1533-2500.2011.00467.x>
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7. Michalek, P., Dolecek, L., Stadler, P. (2005) Ganglion impar block in noncancer perineal pain: what drugs, what strategy? Anesthesiology 103, 212. <https://doi.org/10.1097/00000542-200507000-00039>
8. Oh, C. S., Chung, I. H., Ji, H. J., Yoon, D. M. (2004) Clinical implications of topographic anatomy on the ganglion impar. Anesthesiology 101, 249–250. <https://doi.org/10.1097/00000542-200407000-00039>
9. Plancarte, R., Amescua, C., Patt, R. B., Allende, S. (1990) Presacral blockade of the ganglion of Walther (ganglion impar). Anesthesiology 73, A751.
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11. Wemm, K. Jr., Saberski, L. (1995) Modified approach to block the ganglion impar (ganglion of Walther). Reg. Anesth. 20, 544–555.
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ISSN 1214-6994 (Print) ISSN 2336-2936 (Online)

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