Tachon’s syndrome (suracute back and/or thoracic pain following local injections of corticosteroids). A report of 318 French cases

Berthelot, Jean‐Marie; Tortellier, L.; Guillot, Pascale; Prost, A; Caumon, J. P.; Glémarec, Joëlle; Maugars, Yves

doi:10.1016/j.jbspin.2004.01.005

Cited by 26 publications

(20 citation statements)

References 11 publications

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“…Tachon's syndrome (subacute back pain and/or thoracic pain following local injections of corticosteroids) was reported in one study [62]. Table 2 presents information on the adverse events in the retrospective studies.…”

Section: Resultsmentioning

confidence: 99%

“…Such an adverse event would be extremely rare after injection in a bursa or other superficial structures. The venous counterpart, known as Tachon's syndrome (subacute back pain and/or thoracic pain following local injections of corticosteroids), was reported in a retrospective study [62]. In general it obvious that adverse events associated with corticosteroid injection can be minimised by ensuring appropriate injecting procedures are followed by a well-trained practitioner.…”

Section: Discussionmentioning

confidence: 99%

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Adverse effects of extra-articular corticosteroid injections: a systematic review

Brinks

Koes

Volkers

et al. 2010

BMC Musculoskelet Disord

183

122

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BackgroundTo estimate the occurrence and type of adverse effects after application of an extra-articular (soft tissue) corticosteroid injection.MethodsA systematic review of the literature was made based on a PubMed and Embase search covering the period 1956 to January 2010. Case reports were included, as were prospective and retrospective studies that reported adverse events of corticosteroid injection. All clinical trials which used extra-articular corticosteroid injections were examined. We divided the reported adverse events into major (defined as those needing intervention or not disappearing) and minor ones (transient, not requiring intervention).ResultsThe search yielded 87 relevant studies:44 case reports, 37 prospective studies and 6 retrospective studies. The major adverse events included osteomyelitis and protothecosis; one fatal necrotizing fasciitis; cellulitis and ecchymosis; tendon ruptures; atrophy of the plantar fat was described after injecting a neuroma; and local skin effects appeared as atrophy, hypopigmentation or as skin defect. The minor adverse events effects ranged from skin rash to flushing and disturbed menstrual pattern. Increased pain or steroid flare after injection was reported in 19 studies. After extra-articular injection, the incidence of major adverse events ranged from 0-5.8% and that of minor adverse events from 0-81%. It was not feasible to pool the risk for adverse effects due to heterogeneity of study populations and difference in interventions and variance in reporting.ConclusionIn this literature review it was difficult to accurately quantify the incidence of adverse effects after extra-articular corticosteroid injection. The reported adverse events were relatively mild, although one fatal reaction was reported.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adverse effects of extra-articular corticosteroid injections: a systematic review

Brinks

Koes

Volkers

et al. 2010

BMC Musculoskelet Disord

183

122

View full text Add to dashboard Cite

show abstract

“…In addition, some authors have speculated that accidental intravenous injection of corticosteroid is the cause of Tachon syndrome: excruciating thoracic or low back pain with dramatic, abrupt onset within a few minutes of a local steroid injection and rapid resolution, with a mean duration of 25 minutes. Incidence is estimated at 1 in 8,000 local steroid injections (38)(39)(40). Given the possible risks of intravenous injection, we suggest the proceduralist make efforts to avoid venous as well as arterial steroid injections.…”

Section: Discussionmentioning

confidence: 97%

Extraforaminal needle tip position reduces risk of intravascular injection in CT-fluoroscopic lumbar transforaminal epidural steroid injections

Yu¹,

Lagemann²,

Ghodadra³

et al. 2016

J. Spine Surg.

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Background: Lumbar transforaminal epidural steroid injection is a common and effective tool for managing lumbar radicular pain, although accidental intravascular injection can rarely result in paralysis.The purpose of this study is to determine the safest needle tip position for computed tomography (CT)-guided lumbar transforaminal epidural steroid injections as determined by incidence of intravascular injection.

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“…D'autres effets systémiques ont été décrits : céphalées et bouffées vasomotrices, allergie avec éruption érythémateuse, palpitations, syndrome de Tachon, prurit ou choc anaphylactique, chute du taux des éosinophiles, cataractes, pancréatite, convulsion, thrombophlébite cérébrale, méningite chimique, complications psychiatriques et troubles du cycle menstruel [8,[23][24][25][26][27][28][29].…”

Section: Tableau 3 Modifications Observées Après Trois Infiltrations unclassified

Effets systémiques des infiltrations de glucocorticoïdes épidurales et intra-articulaires chez les patients diabétiques et non diabétiques

Younès

Neffati

Touzi

et al. 2007

Revue du Rhumatisme

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Tachon’s syndrome (suracute back and/or thoracic pain following local injections of corticosteroids). A report of 318 French cases

Cited by 26 publications

References 11 publications

Adverse effects of extra-articular corticosteroid injections: a systematic review

Adverse effects of extra-articular corticosteroid injections: a systematic review

Extraforaminal needle tip position reduces risk of intravascular injection in CT-fluoroscopic lumbar transforaminal epidural steroid injections

Effets systémiques des infiltrations de glucocorticoïdes épidurales et intra-articulaires chez les patients diabétiques et non diabétiques

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