International Medical Case Reports Journal (Nov 2022)

The Importance of Initial Epidurography Prior to Any Drug Administration in Three-Day Adhesiolysis Procedure

  • Diebels OR,
  • Baheri B,
  • Gios J,
  • Dierick A,
  • Hans G

Journal volume & issue
Vol. Volume 15
pp. 615 – 620

Abstract

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Owen Ray Diebels,1 Babak Baheri,2 Jens Gios,2 Ann Dierick,2 Guy Hans2 1University of Antwerp (UA), Antwerp University Hospital (UZA), Edegem, Belgium; 2Department of Anesthesiology and Pain Management, Antwerp University Hospital (UZA), Edegem, BelgiumCorrespondence: Babak Baheri, Email [email protected]: Percutaneous epidural adhesiolysis (PEA) is a minimal invasive procedure to relieve sciatalgia caused by post lumbar surgery syndrome (PLSS). Fluoroscopic-guided contrast-epidurography is essential to ensure a safe procedure. We present a case of a 28-year-old male patient who underwent a PEA which was complicated by a dural puncture. We highlight the dangers of such complications and discuss associated risk factors.Keywords: failed back surgery syndrome, FBSS, fluoroscopy, percutaneous epidural adhesiolysis, PEA, subarachnoid space

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