Percutaneous epidural neuroplasty carries the risk of life-threatening accidents if there is a misidentification of a myelogram as an epidurogram. If the contrast image demonstrates symmetrical and well-defined boundaries, smoothly extending both upwards and downwards, and exhibits rapid dilution upon subsequent imaging, it may indicate the presence of a myelogram. While a myelogram typically exhibits a certain pattern, it may vary among patients. Particularly in cases of severe spinal stenosis and epidural adhesions, distinguishing between myelogram and epidurogram may be ambiguous and requires great caution.
Yesull Kim [ 김예슬 | Department of anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Republic of Korea ]
Hyunji Oh [ 오현지 | Department of anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Republic of Korea ]
Seonhwa Nam [ 남선화 | Department of anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Republic of Korea ]
Seon Woo Yoo [ 유선우 | Department of anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Republic of Korea/Sambong Cheokpyeonan Pain Clinic ]
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