An Alternative to the Transforaminal Cervical Epidural: A Selective Dorsal Epidural

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Cervical transforaminal epidural steroid injections

(TFESIs) play an important role in the conservative treatment of the symptoms of neck pain with a radicular component secondary to cervical herniated intervertebral disc (HIVD) or spinal stenosis (1-3). Although some investigators have reported no serious complications resulting from the use of cervical TFESIs, recent reports emphasize the risks of this procedure, including a high incidence of ...

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Transforaminal epidural blood patch.

Spinal headache is an occasional, but painful complication of epidural injection procedures due to dural puncture that allows leakage of CSF from the thecal sac, thereby reducing intracranial pressure. In the event of failure of conservative management, (e.g. abdominal binder, fluids, acetaminophen), an epidural blood patch is often used. This case report describes a patient with spinal headach...

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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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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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Optimal needle entry angle for cervical transforaminal epidural injections.

BACKGROUND Cervical epidural steroid injections can be performed through either interlaminar or transforaminal approaches, although the interlaminar approach is more frequently used, for cervical radicular pain as a result of cervical disc herniation or spinal stenosis. Cervical selective nerve root block (CSNRB) is an injection that uses a similar approach to that of cervical transforaminal ep...

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ژورنال

عنوان ژورنال: Pain Medicine

سال: 2017

ISSN: 1526-2375,1526-4637

DOI: 10.1093/pm/pnx128