title: Chemical meningism after lumbar facet joint block with local anaesthetic and steroids.
abstract: A case is reported in which chemical meningism occurred after lumbar facet joint block with methylprednisolone acetate and bupivacaine. This complication was probably due to inadvertent dural puncture. The use of steroids in facet joint injections is questioned.
authors.affiliation: Whipps Cross Hospital, Leytonstone, London.
authors.forename: S J
authors.initials: SJ
authors.lastname: Thomson
authors.forename: D M
authors.initials: DM
authors.lastname: Lomax
authors.forename: B J
authors.initials: BJ
authors.lastname: Collett
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D002908:Chronic Disease; D004388:Dura Mater / Q000293:injuries; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008580:Meningism / Q000139:chemically induced*; D008775:Methylprednisolone / Q000009:adverse effects / Q000031:analogs & derivatives*; D000077555:Methylprednisolone Acetate; D009407:Nerve Block / Q000009:adverse effects*; D059408:Pain Management; D013122:Spinal Diseases / Q000503:physiopathology
chemical_list: D000893:Anti-Inflammatory Agents; D000077555:Methylprednisolone Acetate; D008775:Methylprednisolone