Medicine · 2017
Effect of transforaminal epidural polydeoxyribonucleotide injections on lumbosacral radiculopathy: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kang Keum Nae, Kim Tae Woong, Koh Jin Woo, Oh Han Byeol, Mun Jong-Uk, Seo Mi Sook, Kim Young Uk
Аннотация
RATIONALE: Transforaminal epidural glucocorticoids administration is widely performed for the management of lumbosacral radiculopathy. However, it may worsen the condition of patients with type 2 diabetes mellitus (DM). Polydeoxyribonucleotide (PDRN) was recently noted as a substitute for glucocorticoids.
PATIENT CONCERNS: A 44-year-old male patient was admitted to our pain clinic with symptoms of low back pain with severe pain and tingling sensation of left posterolateral leg. He had type 2 DM medicated with Glimepiride and Metformin. Blood glucose level was 367 mg/dL. He declined to use glucocorticoid.
DIAGNOSES: He was diagnosed as left foraminal disc protrusion at L4-5, left subarticular disc protrusion at L5-S1.
INTERVENTIONS: Fluoroscopically guided transforaminal epidural PDRN injections were carried out.
OUTCOMES: The patient was followed up for more than 6 months and demonstrated good improvement in lumbosacral radiculopathy without any complications.
LESSONS: This is the first successful report on epidural injection of PDRN.
PATIENT CONCERNS: A 44-year-old male patient was admitted to our pain clinic with symptoms of low back pain with severe pain and tingling sensation of left posterolateral leg. He had type 2 DM medicated with Glimepiride and Metformin. Blood glucose level was 367 mg/dL. He declined to use glucocorticoid.
DIAGNOSES: He was diagnosed as left foraminal disc protrusion at L4-5, left subarticular disc protrusion at L5-S1.
INTERVENTIONS: Fluoroscopically guided transforaminal epidural PDRN injections were carried out.
OUTCOMES: The patient was followed up for more than 6 months and demonstrated good improvement in lumbosacral radiculopathy without any complications.
LESSONS: This is the first successful report on epidural injection of PDRN.