Alcock canal syndrome due to obturator internus muscle fibrosis

  title={Alcock canal syndrome due to obturator internus muscle fibrosis},
  author={Angelo Insola and Giuseppe Granata and Luca Padua},
  journal={Muscle \& Nerve},
Alcock canal syndrome is a rare entrapment neuropathy of the pudendal nerve. We report a case of perineal neuralgia where pudendal nerve compression was due to fibrosis of the obturator internus muscle following an injury of the muscle. After being misdiagnosed for 2 years, the patient was diagnosed only after a combined neurophysiologic and magnetic resonance imaging (MRI) investigation. This case underlines the importance of performing focused neurophysiologic and neuroimaging studies in… 

Compression and entrapment neuropathies.

  • P. Bouche
  • Medicine, Biology
    Handbook of clinical neurology
  • 2013

A rare and late presentation of pudendal neuralgia in a patient with fibromyalgia after pilates exercises.

  • M. Yıldırım
  • Medicine
    Turkish journal of physical medicine and rehabilitation
  • 2019
Pudendal neuralgia should be considered in the differential diagnosis in patients with pelvic pain and burning sensation or following compelling exercises after exercising with localized pelvic pain.

Laparoscopic pudendal nerve decompression and transposition combined with omental flap protection of the nerve (Istanbul technique): technical description and feasibility analysis

LaPNDT seems a feasible surgical modality for cautiously selected patients with PNE, and using an omental flap for protection of the nerve is one of the most important technical advantages of laparoscopy.

Disorders of the Cauda Equina

Cauda equina dysfunction most often occurs due to lumbosacral disk herniation, and the clinical features, differential diagnosis, and management of cauda equina disorders are described.

Imaging of Pain in the Peripheral Nerves

The aim of this chapter is to discuss the technical parameters of MRN, the anatomy of the brachial, lumbosacral plexus and the peripheral nerves, and the applications of MRn in the diagnosis of peripheral neuropathies and plexopathies.

New technique and strategy for posterior column, posterior wall, ischium, and quadrilateral plate fixation from the anterior approach for acetabular fractures

This study is the first to demonstrate how to screw or drill around the quadrilateral space, posterior column, posterior wall, and near the ischial tuberosity from the anterior approach by a novel "sleeve guide technique".

Neuroimaging of Pain

  • L. Saba
  • Medicine
    Springer International Publishing
  • 2017
Estimates of the costs of pain across a variety of countries and for several conditions that cause pain are reviewed, finding that pain regardless of the country or condition is costly.

Genital and sexual pain in women.



Névralgies périnéales et syndrome du canal d'Alcock.

As in any nerve tunnel syndrome, pre-existing neuropathy constitutes a predisposing factor and should therefore be identified and identified and treatment consists of infiltration, possible repeated, of the pudendal tunnel with a sustained-release corticosteroid under CT guidance.

[Treatments of perineal neuralgia caused by involvement of the pudendal nerve].

Perineal neurophysiologic examinations are useful to confirm pudendal nerve lesion and propose specific medical and/or surgical treatment.

[Neuralgia of the pudendal nerve. Anatomo-clinical considerations and therapeutical approach].

The anatomic study of the pudendal nerve and its relation allows an approach of the mechanisms of compression likely to engender perineal neuralgia and the relation between the trunk of the nerve, its branches and these zones of conflict may explain the clinical observations.

Electrophysiological analysis of pudendal neuropathy following traction

Perineal electrophysiological examination can confirm the pudendal neuropathy and give prognostic information following surgical repair of femoral fracture, hip dislocation, or intra‐articular foreign body, in which the traction table was used.

Traitment des névralgies périnéales par atteinte du nerf pudendal

  • Rev Neurol 1997;153:331–334
  • 1997

Traitment des névralgies périnéales par atteinte du nerf puden

  • Rev Neurol
  • 1997