Reply to Comment on: Penetration of a Cervical Radicular Artery during a Transforaminal Epidural Injection

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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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The Effects of a Forceful Transforaminal Epidural Steroid Injection on Radicular Pain: A Preliminary Study

BACKGROUND Lumbar transforaminal epidural steroid injections (TFESIs) are performed to provide symptom relief in patients with radicular pain. Recent articles suggested that injected volume itself have analgesic effects and higher volumes are associated with better outcomes. To date, few studies have been conducted to investigate the effects of volume. Therefore, well-designed controlled studie...

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Transforaminal epidural steroid injection via a preganglionic approach for the treatment of lumbar radicular pain.

AIM To evaluate the effectiveness of transforaminal epidural steroid injection (TFESI) for lumbar radiculopathy with respect to effect of injection levels, gender, and age group. MATERIAL AND METHODS Hundred-fifty-three consecutive patients who underwent to lumbar TFESI were enrolled. The outcomes were measured by using a visual numeric scale (VNS), NASS and EQ-5D. The relationship between po...

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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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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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ژورنال

عنوان ژورنال: Pain Medicine

سال: 2010

ISSN: 1526-2375,1526-4637

DOI: 10.1111/j.1526-4637.2010.00906.x