Epidural Spinal Injections in Spinal Stenosis due to Lipomatosis: With or without Steroids?
نویسندگان
چکیده
منابع مشابه
Idiopathic spinal epidural lipomatosis.
Spinal epidural lipomatosis is a rare disorder characterized by the pathological overgrowth of epidural fat and often causes extradural compression which may mimic other spinal disorders. Steroid administration is a well-documented etiology. We report a case of spinal epidural lipomastosis without history of steroid administration. The initial manifestation was bizarre and was misdiagnosed as a...
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Degenerative lumbar stenosis is a common source of pain and disability in the elderly. It presents clinically with a variety of symptoms, though neurogenic claudication is the hallmark. There is a multifactorial pathogenesis to lumbar stenosis and its symptoms, and thus, there are multiple management approaches available. Epidural steroid injections (ESIs) are a popular choice in management, ho...
متن کاملSpinal Epidural Lipomatosis in Korean
Spinal epidural lipomatosis (SEL) is a rare disorder, regarded in literature as a consequence of administration of exogenous steroids, associated with a variety of systemic diseases, endocrinopathies and the Cushing's syndrome. Occasionally, SEL may occur in patients not exposed to steroids or suffering from endocrinopathies, namely, idiopathic SEL. Thus far, case studies of SEL among Korean ha...
متن کاملEpidural glucocorticoid injections in patients with lumbar spinal stenosis.
Epidural injections are common. An estimated 10 million to 11 million injections (2.2 million in the Medicare population) are administered annually in the United States.1 Although many injections are used for indications other than spinal stenosis, epidural injections have become almost an expected part of a comprehensive nonoperative treatment protocol in patients with this condition. Yet, evi...
متن کاملLumbar interlaminar epidural injections are superior to caudal epidural injections in managing lumbar central spinal stenosis.
BACKGROUND Epidural injections are performed to manage lumbar central spinal stenosis pain utilizing caudal, interlaminar, and transforaminal approaches. The literature on the efficacy of epidural injections in managing lumbar central spinal stenosis pain is sparse; lacking multiple, high quality randomized trials with long-term follow-up. METHODS Two randomized controlled trials of the cauda...
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ژورنال
عنوان ژورنال: American Journal of Neuroradiology
سال: 2019
ISSN: 0195-6108,1936-959X
DOI: 10.3174/ajnr.a6128