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Research ArticleSPINE

Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients

Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman and Patrice Taourel
American Journal of Neuroradiology March 2004, 25 (3) 441-445;
Catherine Cyteval
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Eric Thomas
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Eric Decoux
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Marie-Pierre Sarrabere
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Alain Cottin
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Francis Blotman
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Patrice Taourel
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    Fig 1.

    Images in a patient with a left C6 radicular pain due to posterolateral disk herniation. Pain was completely relieved after infiltration and sustained at clinical follow-up 6 months.

    A, Postcontrast CT image at the C5-C6 level shows the vertebral artery (arrowhead) in front of the spinal ganglion (white arrow) and the soft posterolateral disk herniation (black arrow).

    B, Needle in contact with the foraminal site of the nerve root (arrow).

    C, Control CT scan after foraminal contrast injection shows contrast medium around the spinal ganglion (arrow).

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    TABLE 1:

    Comparison of patients in terms of pain relief

    MeasurePain Relief
    TotalExcellentGoodFairPoor
    No. of patients30117210
    Mean symptom duration, mo2.73.22.12.11.9
    Mean AVS score before the procedure6.5678.56
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    TABLE 2:

    Comparison of symptom duration, AVS score, and pain relief in terms of cause of the radiculalgia

    MeasureAll PatientsPatients with Degenerative StenosisPatients with a Herniated Disk
    No. of patients301614
    Mean symptom duration, mo2.72.72.6
    Mean AVS score before the procedure6.56.76.2
    Pain relief, no. of patients (%)
     Excellent11 (37)5 (31)6 (43)
     Good7 (23)3 (19)4 (29)
     Fair2 (6)2 (12)0 (0)
     Poor10 (34)6 (37)4 (29)
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American Journal of Neuroradiology: 25 (3)
American Journal of Neuroradiology
Vol. 25, Issue 3
1 Mar 2004
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Cite this article
Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman, Patrice Taourel
Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients
American Journal of Neuroradiology Mar 2004, 25 (3) 441-445;

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Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients
Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman, Patrice Taourel
American Journal of Neuroradiology Mar 2004, 25 (3) 441-445;
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Cited By...

  • Cervical Selective Nerve Root Block: Three-dimensional Puncture Planning With Dyna-CT Is Superior to Conventional CT-guidance in an Ex Vivo Model
  • Ultrasound-guided cervical selective nerve root injections: a narrative review of literature
  • Counterpoint: Conventional Fluoroscopy-Guided Selective Cervical Nerve Root Block--A Safe, Effective, and Efficient Modality in the Hands of an Experienced Proceduralist
  • CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
  • Transforaminal versus Intra-Articular Facet Corticosteroid Injections for the Treatment of Cervical Radiculopathy: A Randomized, Double-Blind, Controlled Study
  • Immediate Pain Response Does Not Predict Long-Term Outcome of CT-Guided Cervical Transforaminal Epidural Steroid Injections
  • CT-Guided Cervical Transforaminal Steroid Injections: Where Should the Needle Tip Be Located?
  • Ultrasound Guided Versus CT-Controlled Pararadicular Injections in the Lumbar Spine: A Prospective Randomized Clinical Trial
  • Safety and Efficacy of CT-Guided Transforaminal Cervical Epidural Steroid Injections Using a Posterior Approach
  • CT-Guided Cervical Selective Nerve Root Block with a Dorsal Approach
  • Selective Cervical Nerve Root Blockade: Prospective Study of Immediate and Longer Term Complications
  • Perils of Intravascular Methylprednisolone Injection into the Vertebral Artery: An Animal Study
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