Abstract
We read with great interest the recent report by Lyders and Morris[1][1] of their case of spinal cord infarction following lumbar transforaminal epidural steroid injection. We would like to highlight the fact that not all corticosteroid preparations are associated with the same risk of embolization
Highlights
A recently published in vivo animal study has compared the effects on the central nervous system (CNS) of the intra-arterial passage of insoluble MPA versus soluble DSP.[3]
On the basis of the current best evidence in the literature, we suggest no longer performing transforaminal injections with insoluble corticosteroid preparations.[2]
The only potential negative aspect of using DSP is the lack of data on the long-term efficacy of DSP compared with insoluble corticosteroids
Summary
A recently published in vivo animal study has compared the effects on the central nervous system (CNS) of the intra-arterial passage of insoluble MPA versus soluble DSP.[3].
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