A 68-year-old woman suffered from lower back and radiating pain on her right buttock and posterior calf. Axial magnetic resonance imaging showed a 7 × 7 mm nodular lesion (T1 and, T2 low signal intensity) at the epidural space between the L5-S1 level and computed tomography revealed it was an epidural gas cyst. The authors performed an epidural block and percutaneous needle aspiration of the ep...

BACKGROUND Gastrointestinal paralysis, nausea and vomiting, and pain, are major clinical problems following abdominal surgery. Anaesthetic and analgesic techniques that reduce pain and postoperative nausea and vomiting (PONV), and prevent or reduce postoperative ileus, may reduce postoperative morbidity, duration of hospitalisation and hospital costs. OBJECTIVES To compare effects of postoper...

Purpose Failed Back Surgery Syndrome (FBSS) occurs in 10–40% of patients treated surgically due to disk herniation (DH). There are several factors that can cause a predisposition FBSS, but the exact pathomechanism has not been elucidated. The aim this study was investigate Metalloproteinase-2 (MMP-2) and Tissue Inhibitor (TIMP-2) activities homogeneous group FBSS with epidural fibrosis comparis...

BACKGROUND Major spine surgery with a dorsal or ventrodorsal approach causes severe postoperative pain. The use of continuous epidural analgesia through one or two epidural catheters placed intraoperatively by the surgeon has been shown to provide efficient postoperative pain control. In this prospective unblinded study, the authors compared the efficacy of continuous intravenous morphine with ...

BACKGROUND We evaluated the epidural administration of tezampanel, a non-N-methyl-d-aspartate receptor antagonist, in a rat model for postoperative pain. We sought to determine if this drug affects nociception when administered epidurally by testing its effects on responses to heat in normal rats. The effects of epidural tezampanel on pain-related behaviors in rats that underwent plantar incisi...

We describe the case of a 40-year-old man with spontaneous intracranial hypotension who presented with cervical radiculopathy associated with epidural venous engorgement. Epidural venous engorgement can occur secondary to intracranial hypotension and manifests intracranially as pachymeningeal venous engorgement. In the cervical spine, two cases of epidural venous engorgement due to intracranial...

results first needle placement without imaging resulted in blood return in 1/199 participants and positive epidurography in 179/199 (90%). minimal needle repositioning resulted in a positive epidurogram in the remaining 19 attempts. no intravascular injection patterns were observed. conclusions this compares favorably to published success rates of fluoroscopically-guided technique and was well ...

ow back pain combined with radicular pain remains as one of the most challenging musculoskeletal problems for its therapeutic management (1). This malady results from nerve root impingement and/or inflammation that causes neurologic symptoms in the distribution of the affected nerve root(s). Conservative treatment, percutaneous spine interventions and surgery have all been used as treatments; a...

We report the occurrence of an epidural haematoma after the removal of a lumbar epidural catheter, which had been inserted 2 days previously for surgery to revise a thrombosed femoral-popliteal graft. Pre-operatively the patient received intravenous heparin by infusion, but this was stopped 7 h prior to epidural insertion. Coagulation studies were normal. The epidural catheter insertion was unr...

Extranodal lymphomas constitute 20% to 30% of all non-Hodgkin's lymphomas. The common sites involved are skin, stomach, brain, and small intestine. Epidural localization is a rare site for lymphomas, accounting for 10% of spinal epidural tumors. Lymphomas occurring primarily in the epidural space without other previously detected lymphomatous foci (i.e., primary spinal epidural lymphomas) repre...