Article Figures & Data
Figures
- Fig. 1
Five hours after ESI in a 47-year-old man, magnetic resonance imaging scans performed at the emergency department were unremarkable, showing a normal appearing conus. (A) T2-weighted sagittal image (repetition time, 3516.7; echo time, 112.0). (B) T1-weighted sagittal image (repetition time, 416.7; echo time, 15.0).
- Fig. 2
Magnetic resonance images (about 48 hours after the procedure) showing extensive signal abnormalities within the lower thoracic spinal cord and conus compatible with the clinical diagnosis of conus infarct. (A) T1-weighted sagittal image (repetition time, 675.0; echo time, 9.6). (B) T2-weighted sagittal image (repetition time, 3640.0; echo time, 102.0). (C) Short tau inversion recovery (STIR) sagittal image (repetition time, 4000.0; echo time, 58.0).
Tables
Patient No. Sex, age (y) Intervertebral foramen injected Aspiration performed Epidurography performed Computed tomography guidance used Outcome 1 Female, 64 (Botwin et al.9) L3-4 and L4-5 Yes Yes No Improvement from 3 of 5 bilaterally to 4 of 5 bilaterally at 1-mo follow-up 2 Female, 51 (Botwin et al.9) L3-4 Yes No Yes No recovery of neurologic function at 8-mo follow-up 3 Male, 42 (Botwin et al.9) S1 Yes No Yes No recovery of neurologic function at 5-y follow-up 4 Female, 71 (Florey26) L2-3 Unknown No Yes Improvement from 0 of 5 to 2 of 5 in L3 myotome but persistent dissociated sensory loss bilaterally at 6-wk follow-up 5 Male, 64 (Lutz et al.10) L1-2 Unknown Yes No Persistent paraparesis and chronic pain 6 Male, 47 (current study) L4-5 Yes Yes No Improvement in strength from 0 of 5 to 4 of 5 in L5 myotome but persistent perineal numbness and urinary retention at 1-mo follow-up
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