title: Interventional Spine Considerations for Dural Ectasia in a Patient With Marfan Syndrome.
abstract: For patients with Marfan syndrome who present with radicular low back pain, interventional spine providers should be familiar with dural ectasia with variable diffuse thinning of the posterior wall of the lumbar spine and sacrum. Providers should carefully weigh the risks and benefits of offering elective procedures because altered anatomy may put these patients at higher risk of dural puncture. Patient selection is essential because hydrostatic pressures and/or neural tension should also be considered as potential pain generators that may not be relieved by steroid injections. Careful evaluation of recent magnetic resonance images and vigilant procedural technique is highly recommended.
authors.affiliation: From the Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.
authors.forename: David J
authors.initials: DJ
authors.lastname: Kohns
mesh_terms: D000328:Adult; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000188:drug therapy; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000473:pathology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007278:Injections, Spinal; D017116:Low Back Pain / Q000188:drug therapy / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*
chemical_list: D005938:Glucocorticoids