Kronik bel ağrılı hastada nadir görülen bir komplikasyon: Epidural steroid enjeksiyonunu takiben gelişen akut rabdomiyoliz
Epidural steroid enjeksiyonu kronik bel ağrısında yaygın kullanılan bir tedavidir. Epidural steroid enjeksiyonun en sık görülen komplikasyonu, dural yırtığın eşlik ettiği yada etmediği çoğunlukla geçici olan baş ağrısıdır. Gözlenen diğer komplikasyonlar arasında; intravasküler enjeksiyon, lokal hematom, kanama, bel ağrısında artış, yüzde flushing, vazovagal reaksiyonlar, bulantı ve ateş bildirilmiştir. Bu olgu sunumunda lumber radikülopatiye bağlı kronik bel ağrısı olan hastaya uygulanan epidural steroid enjeksiyonunu takiben gelişen akut rabdomiyolizi sunduk.
Acute rhabdomyolysis following epidural steroid injection: An unusual complication in a patient with low back pain
Epidural steroid injection is a very common intervention in the treatment of low back pain and sciatic symptoms. The mostcommon complication for epidural steroid injection is transient headache with or without identifiable dural puncture. Othercomplications have also been reported, including intravascular entry, local hematoma, bleeding, increased back pain, facialflushing, vasovagal reactions, nausea, and fever. We report a case of rhabdomyolysis following epidural steroid injection forlumbar radiculopathy
___
- Manchikanti L, Datta S, Gupta S, Munglani R, Bryce DA,
Ward SP, et al. A critical review of the American Pain Society
clinical practice guidelines for interventional techniques:
part 2. Therapeutic interventions. Pain Physician
2010;13(4):E215–64.
- de Meijer AR, Fikkers BG, de Keijzer MH, van Engelen BG,
Drenth JP. Serum creatine kinase as predictor of clinical
course in rhabdomyolysis: a 5-year intensive care survey.
Intensive Care Med 2003;29(7):1121–5.
- Keltz E, Khan FY, Mann G. Rhabdomyolysis. The role of diagnostic
and prognostic factors. Muscles Ligaments Tendons
J 2014;3(4):303–12.
- Brancaccio P, Lippi G, Maffulli N. Biochemical markers of
muscular damage. Clin Chem Lab Med 2010;48(6):757–67.
- Kenney K, Landau ME, Gonzalez RS, Hundertmark J, O’Brien
K, Campbell WW. Serum creatine kinase after exercise:
drawing the line between physiological responseand exertional
rhabdomyolysis. Muscle Nerve 2012;45(3):356–62.
- Cervellin G, Comelli I, Lippi G. Rhabdomyolysis: historical
background, clinical, diagnostic and therapeutic features.
Clin Chem Lab Med 2010;48(6):749–56.
- Ogoke BA. Caudal epidural steroid injections. Pain Physician
2000;3(3):305–12.
- Elmacı AM, Akın F, Aksoy E. Acute kidney injury due to
rhabdomyolysis after status epilepticus: Two pediatric case
reports. J Clin Exp Invest 2013;4(4):517–20.
- Glassman DT, Merriam WG, Trabulsi EJ, Byrne D, Gomella
L. Rhabdomyolysis after laparoscopic nephrectomy. JSLS
2007;11(4):432–7.
- de Oliveira LD, Diniz MT, de Fátima H S Diniz M, SavassiRocha
AL, Camargos ST, Cardoso F. Rhabdomyolysis after
bariatric surgery by Roux-en-Y gastric bypass: a prospective
study. Obes Surg 2009;19(8):1102–7.
- Hooten WM, Kinney MO, Huntoon MA. Epidural abscess
and meningitis after epidural corticosteroid injection.
Mayo Clin Proc 2004;79(5):682–6.