Ultrasound-guided caudal epidural steroid injection for successful treatment of radiculopathy during pregnancy

被引:4
作者
Connolly, Timothy M. [1 ,2 ]
Nadav, Danielle [2 ]
Gungor, Semih [1 ,2 ]
机构
[1] Weill Cornell Med, Hosp Special Surg, Dept Anesthesiol Crit Care & Pain Management, Div Pain Med, 535 East 70th St, New York, NY 10021 USA
[2] Cornell Univ, Weill Cornell Med, Dept Anesthesiol, New York, NY 10065 USA
关键词
caudal; disc herniation; epidural; pregnancy; radiculopathy; ultrasound; PELVIC GIRDLE PAIN; BACK-PAIN; DISK; PREVALENCE;
D O I
10.2217/pmt-2019-0044
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Aim: The aim of this case report is to describe ultrasound guidance for caudal epidural steroid injection during pregnancy. Case report: A 29-year-old, 32-week parturient presented with severe back and leg pain with MRI demonstrating herniation of the L5-S1 level. The disabling pain was refractory to conservative therapy, and an ultrasound-guided caudal epidural steroid injection was performed. There was significant pain relief in the first week with an uneventful subsequent pregnancy. Following delivery, the patient had no further recurrence of her presenting symptoms. Conclusion: Severe radiculopathy may be encountered during pregnancy, complicated by a limited number of treatment options. Ultrasound guidance should be considered during performance of caudal epidural injections in feasible cases.
引用
收藏
页码:67 / 71
页数:5
相关论文
共 16 条
[1]  
Darwich A, 2009, TECHNIQUES REG ANEST, V13, P251
[2]   Lumbar disk disease in pregnancy [J].
Garmel, SH ;
Guzelian, GA ;
DAlton, JG ;
DAlton, ME .
OBSTETRICS AND GYNECOLOGY, 1997, 89 (05) :821-822
[3]   Predicting persistent pregnancy-related low back pain [J].
Gutke, Annelie ;
Ostgaard, Hans Christian ;
Oberg, Birgitta .
SPINE, 2008, 33 (12) :E386-E393
[4]   Ultrasound-Guided Spinal Procedures for Pain A Review [J].
Hurdle, Mark-Friedrich B. .
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA, 2016, 27 (03) :673-+
[5]  
Ireland ML, 2000, CLIN ORTHOP RELAT R, P169
[6]   Prevalence and Factors Associated With Low Back Pain and Pelvic Girdle Pain During Pregnancy A Multicenter Study Conducted in the Spanish National Health Service [J].
Kovacs, Francisco M. ;
Garcia, Emma ;
Royuela, Ana ;
Gonzalez, Lourdes ;
Abraira, Victor .
SPINE, 2012, 37 (17) :1516-1533
[7]   Back pain during pregnancy - A prospective study [J].
Kristiansson, P ;
Svardsudd, K ;
vonSchoultz, B .
SPINE, 1996, 21 (06) :702-708
[8]  
LABAN MM, 1983, ARCH PHYS MED REHAB, V64, P319
[9]   THE LUMBAR HERNIATED DISK OF PREGNANCY - A REPORT OF 6 CASES IDENTIFIED BY MAGNETIC-RESONANCE-IMAGING [J].
LABAN, MM ;
RAPP, NS ;
VONOEYEN, P ;
MEERSCHAERT, JR .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1995, 76 (05) :476-479
[10]   The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine Executive Summary 2015 [J].
Neal, Joseph M. ;
Barrington, Michael J. ;
Brull, Richard ;
Hadzic, Admir ;
Hebl, James R. ;
Horlocker, Terese T. ;
Huntoon, Marc A. ;
Kopp, Sandra L. ;
Rathmell, James P. ;
Watson, James C. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2015, 40 (05) :401-430