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Pneumocephalus following fluoroscopy-guided lumbar epidural injection in elderly patients: two cases report and a review of Korean literatures - Two cases report -
Anesthesia and Pain Medicine ; : 492-497, 2020.
Article in English | WPRIM | ID: wpr-830343
ABSTRACT
Background@#Pneumocephalus can originate from accidental dural puncture while performing epidural block using the loss-of-resistance (LOR) technique with an air-filled syringe. Case We present two cases of pneumocephalus after lumbar epidural block under fluoroscopy for pain control in elderly patients. @*Conclusions@#Lumbar epidural block should be performed under fluoroscopic guidance in elderly patients with severe lesions. The physician should be aware of the increased possibility of a dural puncture occurring due to anatomical changes in older patients. The use of saline is recommended for the LOR technique. A contrast injection should be used together with the LOR technique to locate the epidural space. If a dural puncture occur, the patient should be carefully monitored to determine whether pneumocephalus has developed.
Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Anesthesia and Pain Medicine Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Anesthesia and Pain Medicine Year: 2020 Type: Article