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501 posters, 2 videos, 1 audios, 8 topics, 37 sessions, 395 authors, 307 institutions

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23rd Annual Pain Medicine Meeting 2024

November 21-23, 2024 | Caesars Palace, Las Vegas, Nevada

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6021

PNEUMOCEPHALUS AFTER LUMBAR EPIDURAL USING GADOBUTROL CONTRAST

Part of Topic

Medically Challenging Cases

 

Pneumocephalus After Lumbar Epidural Using Gadobutrol Contrast

Introduction

•Lumbar epidural steroid injections are abundantly common in pain management for treatment of radicular low back pain. 
•Current LCD guidelines for epidural steroid injections require use of contrast dye to confirm safe and accurate needle tip location prior to medication administration. 
•The patient presented in this case experienced altered mental status due to pneumocephalus one day after epidural injection using gadobutrol.
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