scholarly journals When should you order an MRI scan before performing an epidural injection for lower back pain?

2012 ◽  
Vol 34 (4) ◽  
pp. 131-132
Author(s):  
Keith Bush
2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Arnd Von den Driesch ◽  
Dietmar Pierre König

We report the case of a 62-year-old patient with lower back pain radiating into the right leg accompanied by numbness. The pain had an acute onset and was resistant to conservative pain treatment. A magnetic resonance imaging (MRI) scan of the lumbar spine showed no degenerative discovertebral lesions, but a swelling of the nerve root supplying the affected dermatome. For pain treatment the patient received lumbar epidural infiltrations. During this treatment the patient suddenly developed a skin rash with grouped vesicular blisters on an erythematous ground. After the diagnosis of a lumbar herpes zoster and an acyclovir treatment, the patient could be discharged in an ameliorated condition. This case demonstrates the importance to consider rare causes of lumbosciatic pain and disorders and to acknowledge unspecific changes in a MRI scan.


2010 ◽  
Vol 38 (9) ◽  
pp. 24
Author(s):  
ELIZABETH MECHCATIE
Keyword(s):  

Author(s):  
Ibrahim Alburaidi ◽  
Khaled Alravie ◽  
Saleh Qahtani ◽  
Hani Dibssan ◽  
Nawaf Abdulhadi ◽  
...  

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