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Air bubbles mimic disc herniation in MRI after cervical epidural block.
MedLine Citation:
PMID:  20830267     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Magnetic resonance image (MRI) is the most sensitive imaging test of the spine in routine clinical practice. Unlike conventional x-ray examinations and computed tomography scans, high-quality magnetic resonance images can be assured only if patients are able to remain perfectly still. However, some patients find it uncomfortable to remain still because of pain. In that condition, interlaminar cervical epidural injections can reduce pain and allow the procedure. When using air with the "loss of resistance" technique in epidural injections to identify the epidural space, there is the possibility of injected excessive air epidurally to mimic a herniated disc. We describe a case report of epidural air artifact in a cervical MRI after cervical epidural injections.
Authors:
Tae Sam Kim; Sung Sik Shin; Jung Ryul Kim; Dal Yong Kim
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Publication Detail:
Type:  Journal Article     Date:  2010-08-26
Journal Detail:
Title:  The Korean journal of pain     Volume:  23     ISSN:  2093-0569     ISO Abbreviation:  Korean J Pain     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528125     Medline TA:  Korean J Pain     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  202-6     Citation Subset:  -    
Affiliation:
Department of Anesthesiology and Pain Medicine, Sae-Woori Spine Hospital, Gwangju, Korea.
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