title: CT-guided transforaminal cervical and lumbar epidural injections.
abstract: Transforaminal injections are widely used. Serious complications including strokes and paraplegia have been reported after transforaminal injections of corticosteroids, and the Afssaps (2011) has issued a warning about their use [1]. The needle must be positioned in the posterior aspect of foramen, and its correct placement validated by an injection of contrast product. It is preferable to choose cortivazol (Altim(®)) as the corticoid for injection. This procedure is simple, reproducible, and durably effective in 60 to 70% of cases. Complications and adverse effects are rare but potentially serious: allergies, blood pressure surge, vasovagal syncope, transient exacerbation of pain, infection, stroke, and paraplegia. The aim of this course is to stress the need for rigor - in the indication, the technical performance of the procedure, and the overall management of the patient.
authors.affiliation: Service de radiologie, Polyclinique du Bois, Lille, France. claude.depriester@yahoo.com
authors.forename: C
authors.initials: C
authors.lastname: Depriester
authors.forename: S
authors.initials: S
authors.lastname: Setbon
authors.forename: A
authors.initials: A
authors.lastname: Larde
authors.forename: E
authors.initials: E
authors.lastname: Malaquin
authors.forename: B
authors.initials: B
authors.lastname: Vanden Abeele
authors.forename: J
authors.initials: J
authors.lastname: Bocquet
mesh_terms: D002574:Cervical Vertebrae; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects / Q000379:methods*; D008159:Lumbar Vertebrae; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed