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Kartavya Sharma on Muck Rack

Kartavya Sharma

As seen in: Future Medicine
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Articles

Delayed onset paraparesis complicating epidural steroid injection with underlying spinal dural arteriovenous fistula

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By Kartavya Sharma, Vibhash D Sharma
| Future Medicine Verified
We report a case of a 48-year-old man with chronic back pain attributed to discogenic lumbar radiculopathy who underwent a fluoroscopy-guided L2–3 interlaminar epidural steroid injection. 4 h later, he developed acute paraparesis, sensory loss below T10 level and urinary retention. MRI of the thoracic spine revealed diffuse abnormal T2/FLAIR signal and extensive vascular flow voids. A spinal dural arteriovenous fistula was confirmed on spinal angiography.
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