Document Detail


Lumbar spinal stenosis with exacerbation of back pain with extension: a potential contraindication for supine MRI with sedation.
MedLine Citation:
PMID:  19490371     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 71-year-old male with lumbar spinal stenosis developed exacerbation of lower back pain and leg paresthesias while attempting to undergo a spinal magnetic resonance imaging (MRI) scan in the supine position. After undergoing sedation for the MRI, he developed an acute cauda equina syndrome that required surgical decompression. MRI may be contraindicated in the supine position for patients with spinal stenosis and back pain exacerbated by mild-to-moderate extension, since it may further compress the neural tissue.
Authors:
Alan Kuramoto; Linda Chang; Jon Graham; Stephen Holmes
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  21     ISSN:  1552-6569     ISO Abbreviation:  J Neuroimaging     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-04     Completed Date:  2011-08-08     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-4     Citation Subset:  IM    
Affiliation:
John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii 96813, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Humans
Low Back Pain / etiology*,  pathology
Lumbar Vertebrae
Magnetic Resonance Imaging / adverse effects*
Male
Spinal Stenosis / complications,  pathology*
Supine Position
Grant Support
ID/Acronym/Agency:
K24 DA016170-04/DA/NIDA NIH HHS; K24-DA16170/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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