Presentation
Left L5 radiculopathy.
Patient Data
Age: 45 years
Gender: Male
From the case:
L5 transforaminal epidural steroid injection (CT-guided)
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Using a supraneural approach and under CT fluoroscopy, a 22 gauge Quincke needed was used to gain an appropriate position. Injection of gas as contrast confirms an epidural and needle tip position, and then the steroid-containing injectate was given. No immediate complications.
Case Discussion
A contrast agent, either gas or iodinated contrast should be used in CT-guided transforaminal epidural steroid injections to confirm a desired epidural the needle tip position, and also an extra-vascular position.
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