Pain Upon Injection in the Epidural Space

Buchser, E; Chédel, Dominique

doi:10.1213/00000539-199203000-00041

Cited by 4 publications

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“…These cysts are generally not in continuity with the zygoapophyseal joint and are thought to arise from mucinous degeneration of periarticular connective tissue. 35 With translaminar and caudal epidural steroid injection techniques, an average of 5.5 and 10.0cc of injectate are typically administered, respectively. 6,21,22 Nonsurgical techniques for treating radicular pain of zygoapophyseal joint cyst origin have recently been described.…”

Section: Discussionmentioning

confidence: 99%

Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

Slipman¹

2000

Archives of Physical Medicine and Rehabilitation

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We report the first case of zygoapophyseal joint cyst-induced radicular pain successfully treated with therapeutic selective nerve root block. A 56-year-old dentist presented with pain involving the lateral thigh, lateral calf, and foot dorsum that worsened with standing and walking. Magnetic resonance imaging of the lumbar spine showed a cyst emanating from the right L4-L5 zygoapophyseal joint, resulting in central canal and lateral recess stenosis. The patient was treated with two fluorscopically guided therapeutic L5 selective nerve root blocks. The patient remained pain free at 18-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

Slipman¹

2000

Archives of Physical Medicine and Rehabilitation

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Spinal cord lesion after long-term intrathecal clonidine and bupivacaine treatment for the management of intractable pain

Perren¹,

Buchser

Chédel

et al. 2004

Pain

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Long-term intrathecal drug administration using implanted pumps is increasingly used in the treatment of chronic refractory pain [Anderson and Burchiel 1999, Neurosurgery 44 (1999) 289; Krames 2002, Best Pract Res Clin Anaesthesiol 16 (2002) 619; Wallace 2002, Neurology 59 (2002) S18]. Extensive clinical experience over the last 15 years suggests that in selected cases the technique is safe, although infections, system malfunction and drug-related complications have been reported. In most cases, drug-related spinal cord injuries have resulted from the compression of a spinal inflammatory mass or abcess rather than from a direct neurotoxic effect. We report on a case of toxic spinal cord lesion occurring after more than 3 years of uneventful continuous infusion of a mixture of bupivacaine and clonidine.

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Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

Slipman

Lipetz

Herzog

et al. 2000

Archives of Physical Medicine and Rehabilitation

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Pain Upon Injection in the Epidural Space

Cited by 4 publications

References 0 publications

Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

Spinal cord lesion after long-term intrathecal clonidine and bupivacaine treatment for the management of intractable pain

Nonsurgical treatment for radicular of pain of zygoapophyseal joint cyst origin: Therapeutic selective nerve root block

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