Re: Does Coadministration of Transforaminal Epidural Steroid Injection with Sedation Improve Patient Satisfaction?

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Inadvertent Subdural Injection during Cervical Transforaminal Epidural Steroid Injection

Serious complications following cervical epidural steroid injection are rare. Subdural injection of local anesthetic and steroid represents a rare but potentially life threatening complication. A patient presented with left sided cervical pain radiating into the left upper extremity with motor deficit. MRI showed absent lordosis with a broad left paramedian disc-osteophyte complex impinging the...

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Digital subtraction angiography does not reliably prevent paraplegia associated with lumbar transforaminal epidural steroid injection.

Digital subtraction angiography (DSA) has been touted as a radiologic adjunct to interventional neuraxial procedures where it is imperative to identify vascular compromise during the injection. Transforaminal epidural steroid injections (TFESI) are commonly performed interventions for treating acute and chronic radicular spine pain. We present a case of instantaneous and irreversible paraplegia...

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Spinal cord ischemia following cervical transforaminal epidural steroid injection.

T cervical epidural steroid injection (TFCESI) is a common non-surgical adjunct in the management of patients with cervical radiculopathy. It has gained popularity over the interlaminar approach because of its direct delivery of the steroid into the site of pathology. These procedures require fluoroscopic guidance in addition to digital subtraction angiography (DSA) as they provide direct visua...

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Contrast Spreading Patterns in Retrodiscal Transforaminal Epidural Steroid Injection

OBJECTIVE To observe the contrast spreading patterns in the retrodiscal (RD) approach for transforaminal epidural steroid injections and their effect on pain reduction. METHOD Patients with L5 radiculopathy who were scheduled to receive lumbar TF-EPB were consecutively included. We randomly divided them into the L4-5 RD and L5-S1 RD groups and administered 1 cc of contrast dye into epidural s...

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Paraplegia following a thoracolumbar transforaminal epidural steroid injection.

BACKGROUND In recent years, transforaminal epidural injections have emerged as an alternative to interlaminar and caudal epidural steroid injections. The rationale for utilizing transforaminal epidural injections has been described for diagnostic as well as therapeutic purposes. The evidence for lumbar transforaminal epidural steroid injections in managing lumbar nerve root pain is strong, wher...

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ژورنال

عنوان ژورنال: Pain Physician

سال: 2019

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj/2019.22.e661