Pulsatile Subdural Injection Image during Attempted Percutaneous Lumbar Epidural Adhesiolysis

• 영문명: Pulsatile Subdural Injection Image during Attempted Percutaneous Lumbar Epidural Adhesiolysis
• 발행기관: 조선대학교 의학연구원
• 저자명: Hyun Young Lee Kyung Joon Lim In Gook Jee Byung Sik Yu Soo Young Park
• 간행물 정보: 『The Medical Journal of Chosun University』제42권 제4호, 130~134쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.12.31

영문 초록

Percutaneous lumbar epidural adhesiolysis is widely used a treatment for various chronic spinal pain but inadvertent complications of subdural, spinal, or intravascular injection can occur. We report a case of 63-year-old female with unusual pulsatile subdural injection image during attempted lumbar epidural adhesiolysis with fluoroscopy. Pulsatile image confined to the posterior aspect of the spinal canal at L3-4 level was observed. After recognizing subdural injection, we performed epidural adhesiolysis carefully without using steroid and local anesthetics under fluoroscopic guidance. Although unusual, pain physician needed to the understanding of the various subdural fluoroscopic contrast images.

목차

Introduction

Case report

Discussion

키워드

Contrast Fluoroscopy Local anesthetics Lumbar epidural adhesiolysis Pulsatile subdural injection