Needle‐Through‐Needle Technique in Lumbar Interlaminar Epidural Steroid Injection: A Case Report

Pain Practice ◽  
2020 ◽  
Vol 20 (7) ◽  
pp. 777-779
Author(s):  
Xiaolu Linda Zhang ◽  
Samuel Herzig ◽  
Karina Gritsenko ◽  
Jacob Hascalovici ◽  
Simran Dua ◽  
...  
Keyword(s):  
Case Report ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Needle Technique ◽  
Interlaminar Epidural Steroid Injection ◽  
Epidural Steroid

Cervical Interlaminar Epidural Steroid Injection Complications Resulting in Monoplegia and Pneumocephalus: A Case Report

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S294-S294
Author(s):  
Nancy Vuong ◽  
Matthew B. McAuliffe ◽  
Adam E. Flanders ◽  
Michael K. Mallow ◽  
Adam L. Schreiber
Keyword(s):  
Case Report ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Interlaminar Epidural Steroid Injection ◽  
Epidural Steroid

Cervical epidural hematoma following interlaminar epidural steroid injection via the contralateral oblique view in patient taking omega-3 fatty acids

2019 ◽  
Vol 44 (2) ◽  
pp. 253-255 ◽  
Author(s):  
Drew Beasley ◽  
Johnathan H. Goree
Keyword(s):  
Fatty Acids ◽  
Epidural Hematoma ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Omega 3 Fatty Acids ◽  
Omega 3 ◽  
Oblique View ◽  
Anti Inflammatory ◽  
Interlaminar Epidural Steroid Injection ◽  
Epidural Steroid

Background and objectivesWe sought to describe a case of an epidural hematoma after a cervical interlaminar epidural steroid injection (ILESI) performed using contralateral oblique view. We also discuss factors that could have placed this patient at increased risk, including concurrent use of omega-3 fatty acids and non-steroidal anti-inflammatory medications.Case reportA 74-year-old woman returned to the pain clinic, within 15 min of discharge, after an apparent uncomplicated cervical ILESI using the contralateral oblique technique with severe periscapular pain and muscle spasms. Cervical MRI showed a large epidural hematoma which was subsequently emergently evacuated. On postoperative examination, the patient had no neurologic deficits and full resolution of her painful symptoms.ConclusionsTo our knowledge, this is the first reported case of cervical epidural hematoma in which the contralateral oblique technique was used. Also, this is the second case in which the combination of non-steroidal anti-inflammatory medications and omega-3 fatty acids has been considered as a contributor to increased hematoma risk. This case underscores the risk of epidural hematoma using a novel fluoroscopic technique and the need for potential discontinuation of supplements like omega-3 fatty acids.

Thoracic Interlaminar Epidural Steroid Injection

2018 ◽  
pp. 349-354
Author(s):  
Michael B. Furman ◽  
Frank J.E. Falco ◽  
Jimmy M. Henry ◽  
Akil S. Benjamin
Keyword(s):  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Interlaminar Epidural Steroid Injection ◽  
Epidural Steroid
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