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Published in: Skeletal Radiology 10/2012

01-10-2012 | Case Report

Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound

Authors: Deirdre E. Moran, Michael R. Moynagh, Majedah Alzanki, Victoria O. Chan, Stephen J. Eustace

Published in: Skeletal Radiology | Issue 10/2012

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Abstract

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.
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Metadata
Title
Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound
Authors
Deirdre E. Moran
Michael R. Moynagh
Majedah Alzanki
Victoria O. Chan
Stephen J. Eustace
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 10/2012
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1440-3

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