Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients
Cervical radiculopathy is a common entity that can become unremitting, seriously disrupting the patient's work and social activities. The purpose of our study was to evaluate the feasibility, tolerance, and efficacy of transforaminal periganglionic steroid infiltration under CT control. Thirty...
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| Veröffentlicht in: | American journal of neuroradiology : AJNR 2004-03, Vol.25 (3), p.441-445 |
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| container_title | American journal of neuroradiology : AJNR |
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| creator | Cyteval, Catherine Thomas, Eric Decoux, Eric Sarrabere, Marie-Pierre Cottin, Alain Blotman, Francis Taourel, Patrice |
| description | Cervical radiculopathy is a common entity that can become unremitting, seriously disrupting the patient's work and social activities. The purpose of our study was to evaluate the feasibility, tolerance, and efficacy of transforaminal periganglionic steroid infiltration under CT control.
Thirty patients with cervical radiculopathy, despite at least 1 month of appropriate medical treatment, underwent percutaneous periradicular foraminal steroid infiltration under CT control. Sixteen patients had foraminal degenerative stenosis, and 14 patients had disk herniation. The intensity of radicular pain was scored on an analogic visual scale (AVS). Pain relief was classified as excellent when the pain had diminished by 75% or more; good, by 50%-74%; fair by 25%-49%; or poor, by less than 25%. The patients were followed up at 2 weeks and at 6 months.
No local complications occurred after the procedure. The mean AVS pain scores were 6.5 points before the procedure and 3.3 points 2 weeks after, with significant pain relief (P |
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Thirty patients with cervical radiculopathy, despite at least 1 month of appropriate medical treatment, underwent percutaneous periradicular foraminal steroid infiltration under CT control. Sixteen patients had foraminal degenerative stenosis, and 14 patients had disk herniation. The intensity of radicular pain was scored on an analogic visual scale (AVS). Pain relief was classified as excellent when the pain had diminished by 75% or more; good, by 50%-74%; fair by 25%-49%; or poor, by less than 25%. The patients were followed up at 2 weeks and at 6 months.
No local complications occurred after the procedure. The mean AVS pain scores were 6.5 points before the procedure and 3.3 points 2 weeks after, with significant pain relief (P <.001). Pain relief was excellent in 11 patients (37%) and good in seven patients (23%). There was no rebound of pain at the 6-month follow-up. The duration of symptoms before infiltration and the intensity and cause of radiculalgia were not predictive of radicular pain relief.
Intraforaminal cervical infiltration produced substantial sustained pain relief, whatever the cause of the radiculalgia. The CT approach ensures the safety of vital structures and allows the precise injection of a steroid specifically targeted to the ganglia.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>PMID: 15037470</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Adult ; Aged ; Anti-Inflammatory Agents - administration & dosage ; Biological and medical sciences ; Dexamethasone - administration & dosage ; Female ; Humans ; Injections, Spinal ; Intervertebral Disc Displacement - diagnostic imaging ; Intervertebral Disc Displacement - drug therapy ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Radiculopathy - diagnostic imaging ; Radiculopathy - drug therapy ; Radiculopathy - etiology ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiography, Interventional ; Spinal Stenosis - diagnostic imaging ; Spinal Stenosis - drug therapy ; Spine ; Tomography, X-Ray Computed</subject><ispartof>American journal of neuroradiology : AJNR, 2004-03, Vol.25 (3), p.441-445</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright © American Society of Neuroradiology 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158560/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158560/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53782,53784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15592438$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15037470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cyteval, Catherine</creatorcontrib><creatorcontrib>Thomas, Eric</creatorcontrib><creatorcontrib>Decoux, Eric</creatorcontrib><creatorcontrib>Sarrabere, Marie-Pierre</creatorcontrib><creatorcontrib>Cottin, Alain</creatorcontrib><creatorcontrib>Blotman, Francis</creatorcontrib><creatorcontrib>Taourel, Patrice</creatorcontrib><title>Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Cervical radiculopathy is a common entity that can become unremitting, seriously disrupting the patient's work and social activities. The purpose of our study was to evaluate the feasibility, tolerance, and efficacy of transforaminal periganglionic steroid infiltration under CT control.
Thirty patients with cervical radiculopathy, despite at least 1 month of appropriate medical treatment, underwent percutaneous periradicular foraminal steroid infiltration under CT control. Sixteen patients had foraminal degenerative stenosis, and 14 patients had disk herniation. The intensity of radicular pain was scored on an analogic visual scale (AVS). Pain relief was classified as excellent when the pain had diminished by 75% or more; good, by 50%-74%; fair by 25%-49%; or poor, by less than 25%. The patients were followed up at 2 weeks and at 6 months.
No local complications occurred after the procedure. The mean AVS pain scores were 6.5 points before the procedure and 3.3 points 2 weeks after, with significant pain relief (P <.001). Pain relief was excellent in 11 patients (37%) and good in seven patients (23%). There was no rebound of pain at the 6-month follow-up. The duration of symptoms before infiltration and the intensity and cause of radiculalgia were not predictive of radicular pain relief.
Intraforaminal cervical infiltration produced substantial sustained pain relief, whatever the cause of the radiculalgia. The CT approach ensures the safety of vital structures and allows the precise injection of a steroid specifically targeted to the ganglia.</description><subject>Adult</subject><subject>Aged</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Dexamethasone - administration & dosage</subject><subject>Female</subject><subject>Humans</subject><subject>Injections, Spinal</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - drug therapy</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Radiculopathy - diagnostic imaging</subject><subject>Radiculopathy - drug therapy</subject><subject>Radiculopathy - etiology</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiography, Interventional</subject><subject>Spinal Stenosis - diagnostic imaging</subject><subject>Spinal Stenosis - drug therapy</subject><subject>Spine</subject><subject>Tomography, X-Ray Computed</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkV1rFDEUhgdR7Fr9C5IbvRvI92S8EGSwtVBosRW8CzEfnUgmWZNMl_0J_msju7b16nDIc573cPKs26CR8H5k4_fn3QaikfUcQXHSvSrlJ4SQjQN-2Z0gBslAB7jpfk8233utAviqjNdrSFtV5_0HcLW1EdzU1exBiuDaZr1WFW1ay9_G5wOtMjhLWS0-NsNNtTl5Ay6i86FmVf1h0qW8WAPWaGwG0y2YUqw5BeAjIBBcN87GWl53L5wKxb451tPu29nn2-lLf3l1fjF9uuxngnHtrdPMQNWK41ZwbTQXcFTGYYSRMFwMlDvLLByMohYKrpzA1BFINeFk4OS0-3jwbtcfbS3dsrMKcpv9ovJeJuXl_y_Rz_Iu3UuBmGAcNsH7oyCnX6stVS6-aBvC4TxyQAPFYsQNfPs06SHi3_Ub8O4IqNK-wGUVtS9PODZiSsQjN_u7eeezlWVRITQtkrvdDjNJJKWI_AFkq6AO</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>Cyteval, Catherine</creator><creator>Thomas, Eric</creator><creator>Decoux, Eric</creator><creator>Sarrabere, Marie-Pierre</creator><creator>Cottin, Alain</creator><creator>Blotman, Francis</creator><creator>Taourel, Patrice</creator><general>Am Soc Neuroradiology</general><general>American Society of Neuroradiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20040301</creationdate><title>Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients</title><author>Cyteval, Catherine ; Thomas, Eric ; Decoux, Eric ; Sarrabere, Marie-Pierre ; Cottin, Alain ; Blotman, Francis ; Taourel, Patrice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h322t-efc5d0aefcf6e86cdc6809adf21218d68746fe5e07da4e086af824f304c363763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Dexamethasone - administration & dosage</topic><topic>Female</topic><topic>Humans</topic><topic>Injections, Spinal</topic><topic>Intervertebral Disc Displacement - diagnostic imaging</topic><topic>Intervertebral Disc Displacement - drug therapy</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Radiculopathy - diagnostic imaging</topic><topic>Radiculopathy - drug therapy</topic><topic>Radiculopathy - etiology</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiography, Interventional</topic><topic>Spinal Stenosis - diagnostic imaging</topic><topic>Spinal Stenosis - drug therapy</topic><topic>Spine</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cyteval, Catherine</creatorcontrib><creatorcontrib>Thomas, Eric</creatorcontrib><creatorcontrib>Decoux, Eric</creatorcontrib><creatorcontrib>Sarrabere, Marie-Pierre</creatorcontrib><creatorcontrib>Cottin, Alain</creatorcontrib><creatorcontrib>Blotman, Francis</creatorcontrib><creatorcontrib>Taourel, Patrice</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cyteval, Catherine</au><au>Thomas, Eric</au><au>Decoux, Eric</au><au>Sarrabere, Marie-Pierre</au><au>Cottin, Alain</au><au>Blotman, Francis</au><au>Taourel, Patrice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>25</volume><issue>3</issue><spage>441</spage><epage>445</epage><pages>441-445</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><coden>AAJNDL</coden><abstract>Cervical radiculopathy is a common entity that can become unremitting, seriously disrupting the patient's work and social activities. The purpose of our study was to evaluate the feasibility, tolerance, and efficacy of transforaminal periganglionic steroid infiltration under CT control.
Thirty patients with cervical radiculopathy, despite at least 1 month of appropriate medical treatment, underwent percutaneous periradicular foraminal steroid infiltration under CT control. Sixteen patients had foraminal degenerative stenosis, and 14 patients had disk herniation. The intensity of radicular pain was scored on an analogic visual scale (AVS). Pain relief was classified as excellent when the pain had diminished by 75% or more; good, by 50%-74%; fair by 25%-49%; or poor, by less than 25%. The patients were followed up at 2 weeks and at 6 months.
No local complications occurred after the procedure. The mean AVS pain scores were 6.5 points before the procedure and 3.3 points 2 weeks after, with significant pain relief (P <.001). Pain relief was excellent in 11 patients (37%) and good in seven patients (23%). There was no rebound of pain at the 6-month follow-up. The duration of symptoms before infiltration and the intensity and cause of radiculalgia were not predictive of radicular pain relief.
Intraforaminal cervical infiltration produced substantial sustained pain relief, whatever the cause of the radiculalgia. The CT approach ensures the safety of vital structures and allows the precise injection of a steroid specifically targeted to the ganglia.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>15037470</pmid><tpages>5</tpages></addata></record> |
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| source | MEDLINE; PubMed Central; EZB Electronic Journals Library |
| subjects | Adult Aged Anti-Inflammatory Agents - administration & dosage Biological and medical sciences Dexamethasone - administration & dosage Female Humans Injections, Spinal Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - drug therapy Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Nervous system Radiculopathy - diagnostic imaging Radiculopathy - drug therapy Radiculopathy - etiology Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiography, Interventional Spinal Stenosis - diagnostic imaging Spinal Stenosis - drug therapy Spine Tomography, X-Ray Computed |
| title | Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients |
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