title: Intradiscal flow during a transforaminal epidural steroid injection.
abstract: OBJECTIVE
  To present a case of inadvertent intradiscal flow during a L4/5 transforaminal epidural steroid injection.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Outpatient private practice.
  
  
  METHODS
  Single case.
  
  
  METHODS
  Lumbar transforaminal epidural steroid injection.
  
  
  RESULTS
  Flow of contrast indicating needle entry into extruded disc material with filling of the L4/5 disc. CONCLUSION; This case demonstrates the possibility of needle entry into disc material in the presence of a large lateral disc extrusion with cephalad migration during a transforaminal epidural steroid injection.
authors.affiliation: Advanced Pain Management, Virginia Beach, VA, USA. levid@cox.net
authors.forename: David
authors.initials: D
authors.lastname: Levi
mesh_terms: D000368:Aged; D003287:Contrast Media / Q000378:metabolism; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000378:metabolism*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D007405:Intervertebral Disc Displacement / Q000378:metabolism / Q000473:pathology*; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D013256:Steroids / Q000627:therapeutic use*
chemical_list: D003287:Contrast Media; D013256:Steroids