Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound.
Affiliation
Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland. deirdreradiology@gmail.comIssue Date
2012-09Keywords
ALLERGYANALGESIC
MEDICINE
Local subject classification
ANAESTHESIAMeSH
Adrenal Cortex HormonesAdult
Analgesia, Epidural
Anaphylaxis
Back Pain
Humans
Male
Methylprednisolone
Nerve Block
Radiography, Interventional
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Show full item recordCitation
Moran DE et al. Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound. Skeletal Radiol. 2012, 41 (10):1317-8Publisher
Skeletal radiologyJournal
Skeletal radiologyDOI
10.1007/s00256-012-1440-3PubMed ID
22639205Abstract
Anaphylaxis during image-guided interventional procedures is a rare but potentially fatal event. Anaphylaxis to iodinated contrast is an established and well-recognized adverse effect. However, anaphylaxis to some of the other frequently administered medications given during interventional procedures, such as corticosteroids, is not common knowledge. During caudal epidural injection, iodinated contrast is used to confirm needle placement in the epidural space at the level of the sacral hiatus. A combination of corticosteroid, local anesthetic, and saline is subsequently injected. We describe a very rare case of anaphylaxis to a component of the steroid medication instilled in the caudal epidural space.Item Type
ArticleLanguage
enISSN
1432-2161ae974a485f413a2113503eed53cd6c53
10.1007/s00256-012-1440-3
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