{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T19:12:40Z","timestamp":1773083560563,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord Ser Cases"],"DOI":"10.1038\/s41394-019-0237-1","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T18:03:05Z","timestamp":1572976985000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Conus infarction after non-guided transcoccygeal ganglion impar block using particulate steroid for chronic coccydynia"],"prefix":"10.1038","volume":"5","author":[{"given":"Dorothy Khai Chin","family":"Kuek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siok Li","family":"Chung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umme Sara","family":"Zishan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Papanikitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Yanny","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Meagher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Teh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei Chuen","family":"Liong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"McKean","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"237_CR1","doi-asserted-by":"publisher","first-page":"2815","DOI":"10.2147\/JPR.S134775","volume":"10","author":"OH Gunduz","year":"2017","unstructured":"Gunduz OH, Kenis-Coskun O. Ganglion blocks as a treatment of pain: current perspectives. J Pain Res. 2017;10:2815\u201326.","journal-title":"J Pain Res"},{"issue":"1","key":"237_CR2","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1097\/00000542-200407000-00039","volume":"101","author":"Chang-Seok Oh","year":"2004","unstructured":"Oh C-S, Chung I-H, Ji H-J, Yoon D-M. Clinical implications of topographic anatomy on the ganglion impar. Anesthesiology. 2004;101:249\u201350.","journal-title":"Anesthesiology"},{"key":"237_CR3","doi-asserted-by":"crossref","first-page":"661","DOI":"10.36076\/ppj.2007\/10\/661","volume":"10","author":"GR Toshniwal","year":"2007","unstructured":"Toshniwal GR, Dureja GP, Prashanth SM. Transsacrococcygeal approach to ganglion impar block for management of chronic perineal pain: a prospective observational study. Pain Physician. 2007;10:661\u20136.","journal-title":"Pain Physician"},{"key":"237_CR4","doi-asserted-by":"crossref","unstructured":"Walters A, Muhleman M, Osiro S, Bubb K, Snosek M, Shoja MM, et al. One is the loneliest number: A review of the ganglion impar and its relation to pelvic pain syndromes. Clin Anat. 2013;26:855\u201361.","DOI":"10.1002\/ca.22193"},{"key":"237_CR5","first-page":"E0111","volume":"97","author":"G Wang","year":"2018","unstructured":"Wang G, Liang J, Jia Z, Wan L, Yang M. Spinal cord infarction caused by sacral canal epidural steroid injection. Medicine (U S). 2018;97:E0111.","journal-title":"Medicine (U S)"},{"key":"237_CR6","first-page":"E1211","volume":"19","author":"CG Gharibo","year":"2016","unstructured":"Gharibo CG, Fakhry M, Diwan S, Kaye AD. Conus medullaris infarction after a right l4 transforaminal epidural steroid injection using dexamethasone. Pain Physician. 2016;19:E1211\u20134.","journal-title":"Pain Physician"},{"key":"237_CR7","unstructured":"Gupta N, Garg R, Saini S, Bharti SJ, Kumar V. An unusual complication after ganglion impar block for chronic cancer pain management. AANA J. 2017;85:424\u20136."},{"key":"237_CR8","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1097\/01.phm.0000233174.86070.63","volume":"85","author":"PM Foye","year":"2006","unstructured":"Foye PM, Buttaci CJ, Stitik TP, Yonclas PP. Successful injection for coccyx pain. Am J Phys Med Rehabil. 2006;85:783\u20134.","journal-title":"Am J Phys Med Rehabil"},{"issue":"3A","key":"237_CR9","first-page":"A751","volume":"73","author":"DR Plancarte","year":"1990","unstructured":"Plancarte DR, Amescua C, Patt RB, Allende S. Presacral blockade of the ganglion of walther (ganglion Impar). Anesthesiol J Am Soc Anesthesiol. 1990;73(3A):A751.","journal-title":"Anesthesiol J Am Soc Anesthesiol"},{"key":"237_CR10","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/S0952-8180(03)00066-7","volume":"15","author":"JJ Huang","year":"2003","unstructured":"Huang JJ. Another modified approach to the ganglion of Walther block (ganglion of impar). J Clin Anesth. 2003;15:282\u20133.","journal-title":"J Clin Anesth"},{"key":"237_CR11","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1111\/j.1526-4637.2010.00797.x","volume":"11","author":"CS Lin","year":"2010","unstructured":"Lin CS, Cheng JK, Hsu YW, Chen CC, Lao HC, Huang CJ, et al. Ultrasound-guided ganglion impar block: A technical report. Pain Med. 2010;11:390\u20134.","journal-title":"Pain Med"},{"key":"237_CR12","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.crad.2009.08.007","volume":"65","author":"A Datir","year":"2010","unstructured":"Datir A, Connell D. CT-guided injection for ganglion impar blockade: a radiological approach to the management of coccydynia. Clin Radio. 2010;65:21\u20135.","journal-title":"Clin Radio"},{"key":"237_CR13","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1007\/s00256-016-2333-7","volume":"45","author":"DR Marker","year":"2016","unstructured":"Marker DR, U-Thainual P, Ungi T, Flammang AJ, Fichtinger G, Iordachita II, et al. MR-guided perineural injection of the ganglion impar: technical considerations and feasibility. Skelet Radio. 2016;45:591\u20137.","journal-title":"Skelet Radio"},{"key":"237_CR14","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-012-0306-7","volume":"17","author":"JT Scott-Warren","year":"2013","unstructured":"Scott-Warren JT, Hill V, Rajasekaran A. Ganglion impar blockade: a review. Curr Pain Headache Rep. 2013;17:306.","journal-title":"Curr Pain Headache Rep"},{"key":"237_CR15","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1007\/s00256-014-2048-6","volume":"44","author":"TJ Dietrich","year":"2015","unstructured":"Dietrich TJ, Sutter R, Froehlich JM, Pfirrmann CWA. Particulate versus non-particulate steroids for lumbar transforaminal or interlaminar epidural steroid injections: an update. Skelet Radio. 2015;44:149\u201355.","journal-title":"Skelet Radio"},{"key":"237_CR16","unstructured":"KENALOG \u00ae-40 INJECTION (triamcinolone acetonide injectable suspension, USP) [Internet]. [cited 22 May 2019]. Available from: https:\/\/dailymed.nlm.nih.gov\/dailymed\/fda\/fdaDrugXsl.cfm?setid=e25cfc22-29ba-473f-88c4-3c88e9f6863b&type=display."},{"key":"237_CR17","doi-asserted-by":"publisher","first-page":"E266","DOI":"10.1097\/01.brs.0000162401.47054.00","volume":"30","author":"MA Ludwig","year":"2005","unstructured":"Ludwig MA, Burns SP. Spinal cord infarction following cervical transforaminal epidural injection. Spine (Philos Pa 1976). 2005;30:E266\u20138.","journal-title":"Spine (Philos Pa 1976)"}],"container-title":["Spinal Cord Series and Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41394-019-0237-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-019-0237-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-019-0237-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T15:16:02Z","timestamp":1671203762000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41394-019-0237-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,5]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,12]]}},"alternative-id":["237"],"URL":"https:\/\/doi.org\/10.1038\/s41394-019-0237-1","relation":{},"ISSN":["2058-6124"],"issn-type":[{"value":"2058-6124","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,5]]},"assertion":[{"value":"9 July 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2019","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2019","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 November 2019","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"92"}}