Intrasacral Epidural Injection in the Treatment of Sciatica.

Evans, William E.

doi:10.1016/s0140-6736(00)86498-3

Cited by 140 publications

(47 citation statements)

References 1 publication

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“…It is unreasonable, however, to suspect any therapeutic action from extradural injection of 2 ml normal saline. Certainly Evans (1930) found that extradural injection of 30 nil of normal saline relieves sciatic pain, but this is fifteen times the amount used in o u r study. More likely the general improvement of our patients in both groups is at least in part due to the strict bed rest which was instituted directly after admission.…”

Section: Discussionmentioning

confidence: 92%

Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Snoek

Weber

Jørgensen

1977

Acta Orthopaedica Scandinavica

174

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Section: Discussionmentioning

confidence: 92%

Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Snoek

Weber

Jørgensen

1977

Acta Orthopaedica Scandinavica

174

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“…Before the advent of corticosteroids there was a tendency to use large volumes of fluid (up to 200 ml), and Evans (1930) reported that the factor determining success was not the composition of the fluid injected but its volume, which he felt should exceed 60 ml. The putative mechanism was a "fluid dissection" of the extradural space, freeing the nerve root from the extruded disc material, or breaking down peridural adhesions.…”

Section: Methodsmentioning

confidence: 99%

Extradural Corticosteroid Injection in Management of Lumbar Nerve Root Compression

Dilke¹,

Burry²,

Grahame³

1973

BMJ

317

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“…La inyección de corticosteroides en el espacio epidural para el tratamiento del dolor crónico data de 1930; fue descrita en un artículo de Evans (27), tal como se le aplicó a nuestro paciente en una dilución junto con un anestésico local. En 1983 White (28) observó que hasta un 25 % de las punciones eran por fuera del espacio epidural.…”

Section: Discussionunclassified

Inyección subdural: informe de dos casos

Puentes

Guerrero

Nope

2016

iatreia

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485 RESUMENSe presentan dos casos de inyección subdural accidental durante procedimientos epidurales para control del dolor. El primero fue un hombre con dolor lumbar crónico quien sufrió dicha complicación durante la inyección epidural de esteroides por vía interlaminar; el segundo, una mujer con síndrome de hipotensión endocraneana que requirió la aplicación de un parche hemático epidural para controlar múltiples fístulas de LCR, que debió ser abortada en dos ocasiones debido al patrón subdural que se evidenció luego de la administración del medio de contraste. El bloqueo subdural accidental es una complicación rara de la inyección epidural con fines analgésicos o anestésicos. Es de suma importancia la identificación temprana del patrón de distribución subdural y epidural del medio de contraste con el fin de disminuir el riesgo y aumentar la seguridad de los procedimientos en el espacio epidural. PALABRAS CLAVEAdulto; Bloqueo Nervioso Autónomo; Espacio Epidural; Espacio Subdural; Fluoroscopia SUMMARY Subdural injection: report of two casesTwo cases are reported of accidental subdural injection during epidural procedures for pain control. The first one was a man with chronic lumbar pain who suffered such complication during an epidural injection of steroids using the interlaminar approach. The second one was a woman with intracranial hypotension syndrome who required the application of an epidural blood patch in order to control multiple CSF fistulae. The procedure had to be aborted twice due to the subdural pattern observed after injection of the contrast medium. Accidental subdural block is a rare complication of epidural injection for analgesic or anesthetic procedures.

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Intrasacral Epidural Injection in the Treatment of Sciatica.

Cited by 140 publications

References 1 publication

Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Extradural Corticosteroid Injection in Management of Lumbar Nerve Root Compression

Inyección subdural: informe de dos casos

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