Interventional Backbone Issues for Dural Ectasia in a Affected person With Marfan Syndrome.
Am J Phys Med Rehabil. 2018 Jan;97(1):e6-e8
Authors: Kohns DJ
For sufferers with Marfan syndrome who current with radicular low again ache, interventional backbone suppliers must be aware of dural ectasia with variable diffuse thinning of the posterior wall of the lumbar backbone and sacrum. Suppliers ought to rigorously weigh the dangers and advantages of providing elective procedures as a result of altered anatomy could put these sufferers at increased threat of dural puncture. Affected person choice is important as a result of hydrostatic pressures and/or neural rigidity also needs to be thought-about as potential ache turbines that will not be relieved by steroid injections. Cautious analysis of current magnetic resonance pictures and vigilant procedural approach is very beneficial.
PMID: 28350559 [PubMed – indexed for MEDLINE]