Radiology Quiz 77352 | Radiopaedia.org

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Findings

What is important to check with the patient immediately before an interlaminar epidural steroid injection?

Additional to consent, confirming that the patient is not on anticoagulation is very important. The procedure should not take place if the patient is still taking any anticoagulation as bleeding into the central canal (which is a closed space) is a serious unwanted complication. The appropriateness of an ILESI should be considered versus the risks of stopping the anti-coagulation when protocolling such procedures.

Presentation

Bilateral arm pain, multi-level foraminal narrowing on prior MRI. For guided interlaminar epidural steroid injection.

Patient Data

Age:	80 years
Gender:	Female