• Diagn Interv Imaging · Sep 2012

    CT-guided transforaminal cervical and lumbar epidural injections.

    • C Depriester, S Setbon, A Larde, E Malaquin, B Vanden Abeele, and J Bocquet.
    • Service de radiologie, Polyclinique du Bois, Lille, France. claude.depriester@yahoo.com
    • Diagn Interv Imaging. 2012 Sep 1;93(9):704-10.

    AbstractTransforaminal injections are widely used. Serious complications including strokes and paraplegia have been reported after transforaminal injections of corticosteroids, and the Afssaps (2011) has issued a warning about their use [1]. The needle must be positioned in the posterior aspect of foramen, and its correct placement validated by an injection of contrast product. It is preferable to choose cortivazol (Altim(®)) as the corticoid for injection. This procedure is simple, reproducible, and durably effective in 60 to 70% of cases. Complications and adverse effects are rare but potentially serious: allergies, blood pressure surge, vasovagal syncope, transient exacerbation of pain, infection, stroke, and paraplegia. The aim of this course is to stress the need for rigor - in the indication, the technical performance of the procedure, and the overall management of the patient.Copyright © 2012 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

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