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首页> 外文期刊>Pain Studies and Treatment >Finding the Needle in the Haystack—An Unusual Case of Astasia-Abasia Following Sacro-Iliac Joint Injection for Chronic Low Back Pain
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Finding the Needle in the Haystack—An Unusual Case of Astasia-Abasia Following Sacro-Iliac Joint Injection for Chronic Low Back Pain

机译:在干草堆中找到针 - 骶髂关节注射后慢性低腰疼痛后的脂肪术后的一个不寻常的情况

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摘要

We present the case of a 60 yrs old male who, following a routine, uneventful, fluoroscopically guided L5/S1 facet joint rhizolysis and sacro-iliac joint (SIJ) injection developed an unexpected inability to stand or walk, a condition known as astasia-abasia. Initial concern had been that this neurological phenomenon was as a result of complications of his chronic pain intervention. Despite an essentially normal neurological examination and dedicated battery of neurological imaging and special testing, no cause was identified. Over a 7-day period of in-patient admission and physical rehabilitation symptoms resolved entirely. In the course of the workup for this episode, it was suggested that the phenomenon was the result of a side effect of dexamfetamine, an agent that had been prescribed for the patient by his neurologist for treatment of his narcolepsy. On the back of this episode, this treatment was discontinued by his neurologist following an outpatient consultation. Subsequent repeated SIJ injections were entirely uneventful and the patient experienced no further occurrences of this phenomenon.
机译:我们介绍了60岁的旧男性,遵循常规,平行,荧光透视引导的L5 / S1面关节流离虫和骶髂关节(SIJ)注射造成意外的无法站立或行走,一种称为烤肉的病症abasia。最初关注的是,这种神经系统现象是他慢性疼痛干预的并发症。尽管基本上正常的神经系统检查和专用的神经成像和特殊测试电池,但没有发现任何原因。在7天内的患者入住课程和身体康复症状完全解决。在这一集的掉期过程中,有人建议该现象是右旋氟胺的副作用的结果,该副氟胺是由他的神经科医生为患者寻出的患者治疗他的发育性血页的药剂。在这一集的后面,他的神经科医生在门诊诊断后停止了这种治疗。随后重复的SIJ注射完全是平坦的,患者没有进一步发生这种现象。

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