Multiple epidural steroid injections and body mass index linked with occurrence of epidural lipomatosis: a case series

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Multiple epidural steroid injections and body mass index linked with occurrence of epidural lipomatosis: a case series

BACKGROUND Epidural lipomatosis (EL) is an increase of adipose tissue, normally occurring in the epidural space, sufficient to distort the thecal sac and compress neural elements. There is a lack of knowledge of risk factors, impact on patient's symptoms, and its possible association with epidural steroid injections. METHODS History, physical examination, patient chart, and MRI were analyzed ...

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Caudal epidural steroid injections.

The caudal approach to the epidural space was first reported in 1901. Injection of steroids to treat low back pain was introduced in 1952. Caudal epidural steroid injection is a safe, effective technique when performed with appropriate care under fluoroscopic visualization. Caudal epidural injections are associated with inaccurate needle placement when performed blindly in a substantial number ...

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Epiduroscopy and epidural steroid injections.

To the Editor:—We read with interest the two case reports by Dr. Heavner et al. in which the introduction of an epiduroscope for placement of hyaluronidase, local anesthetic, and steroids in the lower lumbar epidural space led to the apparent disruption of venous wall integrity. Unintended vascular uptake of dye was documented on fluoroscopy. The case reports raise several concerns about the va...

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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 lumbar epidural steroid injections.

Low back pain is an important medical, social, and economic problem involving approximately 15% to 39% of the population. Of the numerous therapeutic interventions available for treatment of chronic low back pain, including surgery, epidural administration of corticosteroids is one such intervention commonly used. Several approaches available to access the lumbar epidural space are the caudal, ...

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ژورنال

عنوان ژورنال: BMC Anesthesiology

سال: 2014

ISSN: 1471-2253

DOI: 10.1186/1471-2253-14-70