Epidural Cement Leak in Kyphoplasty
Fig. 41.1 MRI sagittal view of active infiltrative metastatic process as evidenced by STIR (short tau inversion recovery) images. STIR is an MRI image that causes loss of fat signal…
Migration of a Supraclavicular Catheter for Complex Regional Pain Syndrome
Fig. 48.1 CT scan of the chest; arrow points out the catheter in first image; second image shows bright-smeared impression of the catheter abutting the parietal pleura; patient with pleuritic…
Kyphoplasty in Fibrous Dysplasia
Fig. 40.1 Sagittal MRI STIR lumbar spine demonstrating decreased height and biconcave deformity of the L2 vertebral body (personal library) The patient described the pain as a 10/10 at its…
Death After Transforaminal Cervical Epidural Steroid Injection
Fig. 13.1 Sagittal view of the cervical spine showing a disk herniation at the C6–C7 disk level (Courtesy of Dr. M. De Pinto) Fig. 13.2 Sagittal view of the cervical…
Epidural Infection
Fig. 39.1 Epidural electrode implantation scar at midline thoracolumbar junction. The superior edge of the wound is dehisced with thick purulent drainage. A deep pocket of pus was identified on…
Polypharmacy: Neuraxial Anesthesia and Anticoagulation
Indication for anticoagulation therapy Risk stratum for thrombotic events Mechanical heart valves Atrial fibrillation Venous thromboembolism High risk >10% annual risk for thromboembolism Any mitral valve prosthesis Any caged-ball…
Complications of Intrathecal Polypharmacy, Medication Side Effects, and Overdose
Fig. 31.1 2003 Polyanalgesic Consensus recommendations [7] The 2012 Polyanalgesic Consensus on medications used for intrathecal drug delivery systems also differentiates between optimal treatments for neuropathic and nociceptive pain [9]…
Spinal Cord Stimulator Complications: Lead Migration and Malfunction
Complication Frequency (%) Electrode migration 1.5–13.2 Hardware malfunction • Electrode • IPG 3–9 3–25 Infection 2.5–14 Cerebrospinal fluid leakage 0.3–8 Pain at the incisions, IPG site 0.9–12 Subcutaneous hematoma or seroma 9…
Total Spinal After Cervical Epidural Steroid Injection
Fig. 12.1 Sagittal T2 MRI with cervical spinal levels identified; note the limited CSF signal (bright white on T2) in the cervical spine as compared with the thoracic spine Fig….