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KMID : 1148020170420040130
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조선대학교의대논문집
2017 Volume.42 No. 4 p.130 ~ p.134
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Pulsatile Subdural Injection Image during Attempted Percutaneous Lumbar Epidural Adhesiolysis
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Lee Hyun-Young
Lim Kyung-Joon
Jee In-Gook
Yu Byung-Sik
Park Soo-Young
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Abstract
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Percutaneous lumbar epidural adhesiolysis is widely used a treatment for various chronic spinal pain but inadvertent complications of subdural, spinal, or intravascular injection can occur. We report a case of 63-year-old female with unusual pulsatile subdural injection image during attempted lumbar epidural adhesiolysis with fluoroscopy. Pulsatile image confined to the posterior aspect of the spinal canal at L3-4 level was observed. After recognizing subdural injection, we performed epidural adhesiolysis carefully without using steroid and local anesthetics under fluoroscopic guidance. Although unusual, pain physician needed to the understanding of the various subdural fluoroscopic contrast images.
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KEYWORD
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Contrast, Fluoroscopy, Local anesthetics, Lumbar epidural adhesiolysis, Pulsatile subdural injection
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Listed journal information
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