The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Rt $S_1$ Root Block during Rt $L_5$ Root Block in the Lumbar Radiculopathy

요부 신경질환에서 우측 $L_5$ 신경근 차단시 보여진 우측 $S_1$ 신경근 차단

  • Kim, Jong-Lul (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Yoon, Keon-Jung (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Kang, Jun-Goo (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Kim, Kyung-Hee (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Lim, Chung-Hyuck (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Myung-Woo (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Park, Kyu-Ho (Department of Anesthesiology, College of Medicine, The Catholic University of Korea) ;
  • Choi, Hae-Sung (Department of Anesthesiology, College of Medicine, The Catholic University of Korea)
  • 김종렬 (가톨릭대학교 의과대학 마취과학교실) ;
  • 윤건중 (가톨릭대학교 의과대학 마취과학교실) ;
  • 강준구 (가톨릭대학교 의과대학 마취과학교실) ;
  • 김경희 (가톨릭대학교 의과대학 마취과학교실) ;
  • 임정혁 (가톨릭대학교 의과대학 마취과학교실) ;
  • 이명우 (가톨릭대학교 의과대학 마취과학교실) ;
  • 박규호 (가톨릭대학교 의과대학 마취과학교실) ;
  • 최해성 (가톨릭대학교 의과대학 마취과학교실)
  • Published : 1998.10.10
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Abstract

Selective lumbosacral radiculography and nerve root block techniques are very useful in determining the nerve root involved. We have done the lumbar root block to 61-year-old female who had suffered from low back pain radiating to right lower leg which was not relieved by epidural steroid injection two times. $L_5$ root block was performed under the fluoroscopic C-arm guide. When the needle was in correct position, we injected contrast medium (Isovist$^{(R)}$ - 300, Schering, Germany). After we injected 1.5 cc isovist, the S1 root was figured but L5 root was not figured. When we reinjected 1.5 cc isovist, $S_1$ root was enhanced and $L_5$ root was slightly visible due to severe disc bulging and lateral spinal stenosis.

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