Neurogenic Bladder

Justiz, Rafael; Taylor, Victor; Day, Miles

doi:10.1213/ane.0b013e3181d77340

Cited by 8 publications

(4 citation statements)

References 12 publications

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“…The large volumes administered in a contained and often stenotic space during adhesiolysis theoretically increase the risk for cauda equina syndrome and other neurological sequelae stemming from nerve root compression, as was described in a case report on a patient who developed acute monoplegia that resolved after 5 days [74]. Endoscopic adhesiolysis has also been associated with development of neurogenic bladder [75]. …”

Section: Complicationsmentioning

confidence: 99%

Epidural Lysis of Adhesions

et al. 2014

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As our population ages and the rate of spine surgery continues to rise, the use epidural lysis of adhesions (LOA) has emerged as a popular treatment to treat spinal stenosis and failed back surgery syndrome. There is moderate evidence that percutaneous LOA is more effective than conventional ESI for both failed back surgery syndrome, spinal stenosis, and lumbar radiculopathy. For cervical HNP, cervical stenosis and mechanical pain not associated with nerve root involvement, the evidence is anecdotal. The benefits of LOA stem from a combination of factors to include the high volumes administered and the use of hypertonic saline. Hyaluronidase has been shown in most, but not all studies to improve treatment outcomes. Although infrequent, complications are more likely to occur after epidural LOA than after conventional epidural steroid injections.

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Section: Complicationsmentioning

confidence: 99%

Epidural Lysis of Adhesions

et al. 2014

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“…Cauda equina syndrome or paraplegia have been reported after accidental penetration for hypertonic saline into the subdural space. [23][24][25][26] Before injecting hypertonic saline it is mandatory to carefully evaluate the spread of contrast medium in anteroposterior and lateral view, to avoid accidental injection into the subdural spread. 19 Local anesthetic (typically 10 mL for lumbar and 5 mL for cervical procedures) should be injected before hypertonic saline, the patient should be monitored for 20 minutes for the manifestation of paresthesias or muscle weakness indicating a possible subdural spread.…”

Section: Epidural Lysismentioning

confidence: 99%

Interventional Pain Procedures: A Narrative Review Focusing On Safety and Complications. PART 2 Interventional Procedures For Back Pain

Bianco¹,

Tinnirello²,

Papa³

et al. 2023

JPR

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In patients where conservative approaches have failed to relieve from chronic pain, interventional procedures may be an option in well selected patients. In recent years there has been an increase in the use and development of invasive procedures. Concomitantly, there has also been an increase in the complications associated with these procedures. Taken this into consideration, it is important for healthcare providers to take a cautious and vigilant approach, with a focus on patient safety, in order to minimize the risk of adverse events and ensure the best possible outcome for the patient. This may include careful selection of patients for procedures, use of proper techniques and equipment, and close monitoring and follow-up after the procedure. The aim of this narrative review is to summarize the primary complications associated with commonly performed image-guided (fluoroscopy or ultrasoundguided) interventional procedures and provide strategies to reduce the risk of these complications. We conclude that although complications from interventional pain procedures can be mitigated to a certain degree, they cannot be eliminated altogether. In order to avoid adverse events, patient safety should be given considerable attention and physicians should be constantly aware of the possibility of developing complications.

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“…6 ). The selected articles have been schematically gathered in a table ( Table 1 ) [ 4 5 6 7 8 9 10 11 12 13 14 15 16 17 ] following a chronological order.…”

Section: Case Reportmentioning

confidence: 99%

Complication of epiduroscopy: a brief review and case report

et al. 2018

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Epiduroscopy is defined as a percutaneous, minimally invasive endoscopic investigation of the epidural space. Periduroscopy is currently used mainly as a diagnostic tool to directly visualize epidural adhesions in patients with failed back surgery syndrome (FBSS), and as a therapeutic action in patients with low back pain by accurately administering drugs, releasing inflammation, washing the epidural space, and mechanically releasing the scars displayed. Considering epiduroscopy a minimally invasive technique should not lead to underestimating its potential complications. The purpose of this review is to summarize and explain the mechanisms of the side effects strictly related to the technique itself, leaving aside complications considered typical for any kind of extradural procedure (e.g. adverse reactions due to the administration of drugs or bleeding) and not fitting the usual concept of epiduroscopy for which the data on its real usefulness are still lacking. The most frequent complications and side effects of epiduroscopy can be summarized as non-persistent post-procedural low back and/or leg discomfort/pain, transient neurological symptoms (headache, hearing impairment, paresthesia), dural puncture with or without post dural puncture headache (PDPH), post-procedural visual impairment with retinal hemorrhage, encephalopathy resulting in rhabdomyolysis due to a dural tear, intradural cyst, as well as neurogenic bladder and seizures. We also report for first time, to our knowledge, a case of symptomatic pneumocephalus after epiduroscopy, and try to explain the reason for this event and the precautions to avoid this complication.

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Neurogenic Bladder

Cited by 8 publications

References 12 publications

Epidural Lysis of Adhesions

Epidural Lysis of Adhesions

Interventional Pain Procedures: A Narrative Review Focusing On Safety and Complications. PART 2 Interventional Procedures For Back Pain

Complication of epiduroscopy: a brief review and case report

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