Open AccessAn Unusual Obstacle to the Thoracic Interlaminar Epidural Injection for the Treatment of Postherpetic Neuralgia
Author(s) -
Serhad Bilim
Publication year - 2020
Publication title -
ağrı
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 19
eISSN - 2458-9446
pISSN - 1300-0012
DOI - 10.14744/agri.2020.68878
Subject(s) - ossification , medicine , anterior longitudinal ligament , calcification , ligament , epidural space , diffuse idiopathic skeletal hyperostosis , surgery , posterior longitudinal ligament , neuralgia , anatomy , postherpetic neuralgia , hyperostosis , epidural steroid injection , anesthesia , radiology , low back pain , pathology , neuropathic pain , alternative medicine
Interlaminar epidural steroid injections corresponding to dermatomes affected by post-herpetic neuralgia (PHN) were found effective in reducing pain. Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition that mainly occurs with calcification and ossification of spinal ligaments such as anterior and posterior longitudinal, interspinous, supraspinous ligament, and ligamentum flavum. In this case, it is presented that the failure of the access to the T7-T8 interlaminar space due to the supra/interspinous ligament calcification and ossification accompanied by thoracic DISH in a 73-year-old male for the treatment of PHN.