Epidural Injections Contraindicated for Lumbar Radiculopathy in Could-Thurner Syndrome: A Case Report.
A A Case Rep. 2017 Nov 15;9(10):294-296
Authors: Sniderman M
A 59-year-old affected person introduced to the continual ache clinic with a 6-week historical past of worsening lumbar again ache, bilateral thigh ache, and unilateral radiculopathy. Magnetic resonance imaging revealed delicate discogenic and facetogenic illness, however vital epidural venous plexus engorgement compressing the thecal sac. The affected person reported earlier remedy by a vascular surgeon for Could-Thurner Syndrome, a kind of inferior vena caval obstruction, but had not skilled these particular complaints. A dialogue with the radiologist confirmed worsening of the affected person’s Could-Thurner Syndrome was the possible reason behind the affected person’s signs. The affected person was referred again to the surgeon to alleviate the venous obstruction as a result of routine injection remedy could be ineffective.