Poster 313 A Retrodiskal Approach of Lumbar Transforaminal Epidural Block in a Case of Severe Foraminal Stenosis

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S281-S281
Author(s):  
Chang J. Moon ◽  
Jaeki Ahn ◽  
Sung H. Kang ◽  
Chul Kim
2016 ◽  
Vol 3;19 (3;3) ◽  
pp. E455-E458
Author(s):  
Yun Suk Choi

A 75-year-old man, who was healthy, visited the hospital because of shooting pain and numbness in both lower limbs (right > left). The patient had an L4/5 moderate right foraminal stenosis and right subarticular disc protrusion and received a lumbar epidural block. The patient experienced severe weakness in the right lower limb after 2 days. Lumbar and cervical magnetic resonance images were taken and electromyography and a nerve conduction study were performed to arrive at the diagnosis of a motor neuron disease. The patient expired 4 months later with respiratory failure due to motor neuron disease. This case suggests that any abnormal neurological symptoms that occur after an epidural block should be examined thoroughly via testing and consultations to identify the cause of the symptoms. Key words: Leg pain, epidural steroid injections, motor neuron disease Pain Physician 2016; 19:E455-E458


2019 ◽  
Vol 31 (6) ◽  
pp. 831-834 ◽  
Author(s):  
Anand H. Segar ◽  
Alexander Riccio ◽  
Michael Smith ◽  
Themistocles S. Protopsaltis

Total uncinate process resection or uncinectomy is often required in the setting of severe foraminal stenosis or cervical kyphosis correction. The proximity of the uncus to the vertebral artery, nerve root, and spinal cord makes this a challenging undertaking. Use of a high-speed burr or ultrasonic bone dissector can be associated with direct injury to the vertebral artery and thermal injury to the surrounding structures. The use of an osteotome is a safe and efficient method of uncinectomy. Here the authors describe their technique, which is illustrated with an intraoperative video.


2009 ◽  
Vol 33 (5) ◽  
pp. 414
Author(s):  
P.J. MacMahon ◽  
D.H. Taylor ◽  
D. Duke ◽  
D.D. Brennan ◽  
S.J. Eustace

1997 ◽  
Vol 87 (6) ◽  
pp. 1574-1575 ◽  
Author(s):  
Tetsushi Fukushige ◽  
Tatsuhiko Kano ◽  
Tomomi Sano

2006 ◽  
Vol 96 (5) ◽  
pp. 633-639 ◽  
Author(s):  
G.A. McLeod ◽  
K. Dell ◽  
C. Smith ◽  
J.A.W. Wildsmith

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