Postmyelography headaches are produced mostly by CSF leakage at the dural puncture site and are therefore largely dependent on the size of the needle used. Our study of 300 consecutive outpatients who had lumbar myelograms performed with 25- and 26-gauge spinal needles shows that the procedure has become virtually innocuous. We recommend that 26-gauge spinal needles be widely adopted as the sta...

INTRODUCTION Computed tomography-guided transthoracic needle biopsy is a common diagnostic procedure that is associated with various complications including pneumothorax, parenchymal hemorrhage, and hemoptysis. A systemic air embolism is a very rare (0.06 to 0.21%) but potentially fatal complication. CASE PRESENTATION A 70-year-old Korean male was admitted to our hospital for evaluation of a ...

To the Editor: I read with interest the consensus opinions to prevent neurologic complications after epidural steroid injections in the May 2015 issue.1 The working group deserves the thanks of practitioners of interventional pain medicine. The statements serve to direct cervicothoracic spine.3 Furthermore, the lateral view did not provide consistent location of the needle tip in the epidural s...

Introduction: Analgesia following shoulder surgery commonly uses interscalene nerve blockade. When contraindicated (i.e. respiratory compromise), suprascapular nerve blockade can provide a viable alternative. Although a number of techniques have been used, Barber in 2005 described a simple method using anatomical landmarks. While theoretically straightforward, substantive evidence supporting th...

<p>The elevated cases of pregnant women infected with COVID-19 who needed to undergo caesarean section is a great challenge anesthesiologists. Morbid obesity and preeclampsia in pregnancy are also another medical practice especially when the patient requires section. To describe perioperative management morbidly obese preeclamptic COVID-19. A woman mild case COVID-19, severe underwent an ...

Neuromodulation with spinal cord stimulation is a proven, cost effective treatment for the management of chronic radicular low back pain from failed low back surgery syndrome and other neuropathic pain conditions. The traditionally instructed method for percutaneous spinal cord stimulator lead placement promotes the use of a "loss of resistance" technique under anteroposterior fluoroscopic guid...

OBJECTIVES We evaluated post dural puncture headache (PDPH) cases and the contributing factors and monitored the treatment response with epidural blood patch (EBP), and other therapies. METHODS In this retrospective study, 77 PDPH cases treated with EBP were included. Patients were evaluated in terms of age, gender, type of surgery, type and diameter of the needle used for dural puncture, num...

Dates: Received: 28 Nov. 2012 Accepted: 27 Jan. 2014 Published: 05 May 2014 The post-occipital sinus of the spinal vein is often used for the collection of blood samples from crocodilians. Although this sampling method has been reported for several crocodilian species, the technique and associated anatomy has not been described in detail in any crocodilian, including the Nile crocodile (Crocody...

BACKGROUND Prompted by an increase in interventional pain treatments performed at the level of the cervical spine, we investigated the characteristics and patterns of injury in malpractice claims collected from January 1, 2005 to December 31, 2008. METHODS We compared claims arising from cervical pain treatments with all other chronic pain claims collected from the American Society of Anesthe...