Intradiscal flow during a transforaminal epidural steroid injection.
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.
Levi
David
D
Advanced Pain Management, Virginia Beach, VA, USA. levid@cox.net
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*
D003287:Contrast Media; D013256:Steroids