Epidural Injections Contraindicated for Lumbar Radiculopathy in May-Thurner Syndrome: A Case Report
| Autor: | Michael Sniderman |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Lumbar radiculopathy Injections Epidural 03 medical and health sciences 0302 clinical medicine May-Thurner Syndrome Medicine Humans 030212 general & internal medicine Intervertebral Disc Radiculopathy Epidural venous plexus medicine.diagnostic_test business.industry Chronic pain clinic 030208 emergency & critical care medicine Magnetic resonance imaging General Medicine Middle Aged May–Thurner syndrome medicine.disease Venous Obstruction Surgery Epidural injections Thecal sac business Low Back Pain |
| Zdroj: | AA case reports. 9(10) |
| ISSN: | 2325-7237 |
| Popis: | A 59-year-old patient presented to the chronic pain clinic with a 6-week history of worsening lumbar back pain, bilateral thigh pain, and unilateral radiculopathy. Magnetic resonance imaging revealed mild discogenic and facetogenic disease, but significant epidural venous plexus engorgement compressing the thecal sac. The patient reported previous treatment by a vascular surgeon for May-Thurner Syndrome, a type of inferior vena caval obstruction, yet had not experienced these specific complaints. A discussion with the radiologist confirmed worsening of the patient's May-Thurner Syndrome was the likely cause of the patient's symptoms. The patient was referred back to the surgeon to relieve the venous obstruction because routine injection therapy would be ineffective. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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