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

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 33 Issue: 4 Year: 2020

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An Unusual Obstacle to the Thoracic Interlaminar Epidural Injection for the Treatment of Postherpetic Neuralgia [A�r�]

A�r�. 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 �nterlaminar Epidural Enjeksiyonuna Beklenmedik Bir Engel

Serhad Bilim, Savas Sencan, Hakan Gunduz
Marmara �niversitesi T�p Fak�ltesi, Fiziksel T�p Ve Rehabilitasyon Klini�i, Algoloji B�l�m�

Postherpetik nevraljide (PHN) etkilenen dermatomlara y�nelik interlaminar epidural steroid enjeksiyonlar�n�n a�r�y� azaltmada etkili oldu�u bulunmu�tur. Diff�z idiyopatik iskelet hiperostozu (DISH) esas olarak anterior ve posterior longitudinal ligament, interspin�z, supraspin�z ligament ve ligamentum flavum gibi spinal ligamentlerin kalsifikasyonu ve kemikle�mesi ile ortaya ��kan inflamatuar olmayan bir durumdur. Bu olguda, 73 ya��nda PHN�si olan bir erkek hastada, torakal DISH�e e�lik eden supra / interspin�z ligament kalsifikasyonu ve kemikle�me nedeniyle T7-T8 interlaminar epidural alana eri�imin ba�ar�s�z olma durumu sunulmu�tur.

Anahtar Kelimeler: Postherpetik Nevralji, Diff�z �diopatik �skelet Hiperostozu, Patolojik Kalsifikasyon, Torakal Vertebra, Torakal Spondiloz, Epidural Enjeksiyon

Corresponding Author: Serhad Bilim, T�rkiye

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