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Volume: 32  Issue: 3  Year: 2020
 

Attention: These articles have been accepted for publication; however, this list does not indicate the order in which articles will be published. As new articles are accepted, the order displayed here will change.

An Unusual Obstacle to the Thoracic Interlaminar Epidural Injection for the Treatment of Postherpetic Neuralgia [Ağrı]
Ağrı. Ahead of Print: AGRI-68878 | DOI: 10.14744/agri.2020.68878  

An Unusual Obstacle to the Thoracic Interlaminar Epidural Injection for the Treatment of Postherpetic Neuralgia

Serhad Bilim, Savas Sencan, Hakan Gunduz
Marmara University Faculty Of Medicine, Department Of Physical Medicine And Rehabilitation, Division Of Pain Medicine

Interlaminar epidural steroid injections corresponding to dermatomes affected by postherpetic neuralgia (PHN) was found effective in reducing pain. Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition that mainly occurs with calcification and ossification of spinal ligaments such as anterior and posterior longitudinal, interspinous, supraspinous ligament and ligamentum flavum. In this case, it is presented that the failure of the access to the T7-T8 interlaminar space because of the supra/interspinous ligament calcification and ossification accompanied by thoracic DISH in a 73 year-old male for the treatment of PHN.
Keywords: Postherpetic Neuralgia, Diffuse Idiopathic Skeletal Hyperostosis, Pathologic Calcification, Thoracic Vertebrae, Thoracic Spondylosis, Epidural Injection

Keywords: Postherpetic Neuralgia, Diffuse Idiopathic Skeletal Hyperostosis, Pathologic Calcification, Thoracic Vertebrae, Thoracic Spondylosis, Epidural Injection


Postherpetik Nevralji Tedavisinde Torasik İnterlaminar Epidural Enjeksiyonuna Beklenmedik Bir Engel

Serhad Bilim, Savas Sencan, Hakan Gunduz
Marmara Üniversitesi Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Kliniği, Algoloji Bölümü

Postherpetik nevraljide (PHN) etkilenen dermatomlara yönelik interlaminar epidural steroid enjeksiyonlarının ağrıyı azaltmada etkili olduğu bulunmuştur. Diffüz idiyopatik iskelet hiperostozu (DISH) esas olarak anterior ve posterior longitudinal ligament, interspinöz, supraspinöz ligament ve ligamentum flavum gibi spinal ligamentlerin kalsifikasyonu ve kemikleşmesi ile ortaya çıkan inflamatuar olmayan bir durumdur. Bu olguda, 73 yaşında PHN’si olan bir erkek hastada, torakal DISH’e eşlik eden supra / interspinöz ligament kalsifikasyonu ve kemikleşme nedeniyle T7-T8 interlaminar epidural alana erişimin başarısız olma durumu sunulmuştur.

Anahtar Kelimeler: Postherpetik Nevralji, Diffüz İdiopatik İskelet Hiperostozu, Patolojik Kalsifikasyon, Torakal Vertebra, Torakal Spondiloz, Epidural Enjeksiyon




Corresponding Author: Serhad Bilim, Türkiye


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