Pneumorrhachis mimicking meningitis after a paramedian lumbar interlaminar injection

Gildasio S. De Oliveira; Jean Charchaflieh; David Walega

doi:10.1097/AJP.0b013e3181f1eabb

Pneumorrhachis mimicking meningitis after a paramedian lumbar interlaminar injection

Gildasio S. De Oliveira, Jean Charchaflieh, David Walega

Anesthesiology

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

We report a case of a 76-year-old female with chronic back pain owing to a degenerative disc disease at L5 to S1. She underwent a paramedian lumbar interlaminar injection in the prone position at the level of L5-S1 using loss of resistance technique and without fluoroscopic guidance. The patient was admitted to the intensive care unit on the day after the procedure with objective signs of meningeal irritation. A computed tomography scan of the spine showed presence of multiple air levels within the spinal canal. The patients symptoms resolved spontaneously and she was discharged to home the next day.

Original language	English (US)
Pages (from-to)	355-356
Number of pages	2
Journal	Clinical Journal of Pain
Volume	27
Issue number	4
DOIs	https://doi.org/10.1097/AJP.0b013e3181f1eabb
State	Published - May 2011

Keywords

Pneumorrhachis lumbar injection
back pain treatment
meningitis

ASJC Scopus subject areas

Clinical Neurology
Anesthesiology and Pain Medicine

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10.1097/AJP.0b013e3181f1eabb

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abstract = "We report a case of a 76-year-old female with chronic back pain owing to a degenerative disc disease at L5 to S1. She underwent a paramedian lumbar interlaminar injection in the prone position at the level of L5-S1 using loss of resistance technique and without fluoroscopic guidance. The patient was admitted to the intensive care unit on the day after the procedure with objective signs of meningeal irritation. A computed tomography scan of the spine showed presence of multiple air levels within the spinal canal. The patients symptoms resolved spontaneously and she was discharged to home the next day.",

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AB - We report a case of a 76-year-old female with chronic back pain owing to a degenerative disc disease at L5 to S1. She underwent a paramedian lumbar interlaminar injection in the prone position at the level of L5-S1 using loss of resistance technique and without fluoroscopic guidance. The patient was admitted to the intensive care unit on the day after the procedure with objective signs of meningeal irritation. A computed tomography scan of the spine showed presence of multiple air levels within the spinal canal. The patients symptoms resolved spontaneously and she was discharged to home the next day.

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Pneumorrhachis mimicking meningitis after a paramedian lumbar interlaminar injection

Abstract

Keywords

ASJC Scopus subject areas

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