• Pain Pract · Sep 2017

    Case Reports

    A Computed Tomography-Guided Demonstration of the Unilateral Distribution of Low-Volume Epidural Injectate.

    • Semih Gungor and Rohit Aiyer.
    • Department of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York, U.S.A.
    • Pain Pract. 2017 Sep 1; 17 (7): 952-955.

    ObjectivesThe primary objective of this case report was to demonstrate the unilateral distribution of the low volume injectate given in the epidural space when paramedian interlaminar approach is utilized under computed tomography guidance.MethodsThis was a case report on a single patient with history of unilateral epidural contrast distribution under fluoroscopy views, who presented with bilateral lumbar radicular symptoms, and underwent epidural injections via bilateral paramedian interlaminar approach under computed tomography guidance. Multiple-level computed tomography scans were obtained for demonstration purposes.ResultsThere was primarily unilateral distribution of low-volume injectate in the epidural space when paramedian interlaminar approach is utilized.© 2016 World Institute of Pain.

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