Transforaminal epidural steroid injection and infraneural approach

dc.contributor.authorArici, Tulin
dc.contributor.authorKurcalodglu, Mustafa
dc.contributor.authorEyigor, Can
dc.contributor.authorUyar, Meltem
dc.date.accessioned2019-10-27T09:45:07Z
dc.date.available2019-10-27T09:45:07Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractTransforaminal epidural steroid injections are a common intervention in the treatment of radicular pain. Complications are rare, but can be catastrophic. One of the potentially devastating complications is occlusion of the artery of Adamkiewicz (AKA). This report is a description of an approach to avoid the complication of injury to the AKA related to transforaminal epidural injection. A 71-year-old male patient presented at the clinic with radiculopathy secondary to lumbar disc hernia. A transforaminal epidural steroid injection was planned. After a radiocontrast injection, vascular filling was detected. The needle was repositioned and an inferior entrance to the epidural space was used. No vascularity was seen and dexamethasone was administered to the patient. A transforaminal epidural steroid injection is an effective interventional treatment for radicular pain, but it requires careful attention due to the possible complications.The AKA was located in the upper half of the foramen. Keeping the wide variation in the anatomy of the AKA in mind is very important in order to prevent spinal cord ischemia.en_US
dc.identifier.doi10.5505/agri.2017.26097
dc.identifier.endpage106en_US
dc.identifier.issn1300-0012
dc.identifier.issn1300-0012en_US
dc.identifier.issue2en_US
dc.identifier.startpage104en_US
dc.identifier.urihttps://doi.org/10.5505/agri.2017.26097
dc.identifier.urihttps://hdl.handle.net/11454/29100
dc.identifier.volume31en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherKare Publen_US
dc.relation.ispartofAgri-The Journal of the Turkish Society of Algologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArtery of Adamkiewiczen_US
dc.subjectinfraneural approachen_US
dc.subjectspinal cord ischemiaen_US
dc.subjecttransforaminal epidural injectionen_US
dc.titleTransforaminal epidural steroid injection and infraneural approachen_US
dc.typeArticleen_US

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