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Lumbar Spinal Stenosis with Exacerbation of Back Pain with Extension: A Potential Contraindication for Supine MRI with Sedation
Author(s) -
Kuramoto Alan,
Chang Linda,
Graham Jon,
Holmes Stephen
Publication year - 2011
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2009.00382.x
Subject(s) - medicine , supine position , exacerbation , contraindication , magnetic resonance imaging , back pain , sedation , cauda equina syndrome , lumbar , lumbar spinal stenosis , spinal stenosis , stenosis , radiology , decompression , neurogenic claudication , anesthesia , surgery , alternative medicine , pathology
A 71‐year‐old male with lumbar spinal stenosis developed exacerbation of lower back pain and leg paresthesias while attempting to undergo a spinal magnetic resonance imaging (MRI) scan in the supine position. After undergoing sedation for the MRI, he developed an acute cauda equina syndrome that required surgical decompression. MRI may be contraindicated in the supine position for patients with spinal stenosis and back pain exacerbated by mild‐to‐moderate extension, since it may further compress the neural tissue.