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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients

Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman and Patrice Taourel
American Journal of Neuroradiology March 2004, 25 (3) 441-445;
Catherine Cyteval
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Eric Thomas
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Eric Decoux
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Marie-Pierre Sarrabere
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Alain Cottin
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Francis Blotman
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Patrice Taourel
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Abstract

BACKGROUND AND PURPOSE: Cervical radiculopathy is a common entity that can become unremitting, seriously disrupting the patient’s work and social activities. The purpose of our study was to evaluate the feasibility, tolerance, and efficacy of transforaminal periganglionic steroid infiltration under CT control.

METHODS: Thirty patients with cervical radiculopathy, despite at least 1 month of appropriate medical treatment, underwent percutaneous periradicular foraminal steroid infiltration under CT control. Sixteen patients had foraminal degenerative stenosis, and 14 patients had disk herniation. The intensity of radicular pain was scored on an analogic visual scale (AVS). Pain relief was classified as excellent when the pain had diminished by 75% or more; good, by 50%–74%; fair by 25%–49%; or poor, by less than 25%. The patients were followed up at 2 weeks and at 6 months.

RESULTS: No local complications occurred after the procedure. The mean AVS pain scores were 6.5 points before the procedure and 3.3 points 2 weeks after, with significant pain relief (P < .001). Pain relief was excellent in 11 patients (37%) and good in seven patients (23%). There was no rebound of pain at the 6-month follow-up. The duration of symptoms before infiltration and the intensity and cause of radiculalgia were not predictive of radicular pain relief.

CONCLUSION: Intraforaminal cervical infiltration produced substantial sustained pain relief, whatever the cause of the radiculalgia. The CT approach ensures the safety of vital structures and allows the precise injection of a steroid specifically targeted to the ganglia.

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American Journal of Neuroradiology: 25 (3)
American Journal of Neuroradiology
Vol. 25, Issue 3
1 Mar 2004
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Cite this article
Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman, Patrice Taourel
Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients
American Journal of Neuroradiology Mar 2004, 25 (3) 441-445;

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Cervical Radiculopathy: Open Study on Percutaneous Periradicular Foraminal Steroid Infiltration Performed under CT Control in 30 Patients
Catherine Cyteval, Eric Thomas, Eric Decoux, Marie-Pierre Sarrabere, Alain Cottin, Francis Blotman, Patrice Taourel
American Journal of Neuroradiology Mar 2004, 25 (3) 441-445;
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  • Cervical Selective Nerve Root Block: Three-dimensional Puncture Planning With Dyna-CT Is Superior to Conventional CT-guidance in an Ex Vivo Model
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  • Counterpoint: Conventional Fluoroscopy-Guided Selective Cervical Nerve Root Block--A Safe, Effective, and Efficient Modality in the Hands of an Experienced Proceduralist
  • CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
  • Transforaminal versus Intra-Articular Facet Corticosteroid Injections for the Treatment of Cervical Radiculopathy: A Randomized, Double-Blind, Controlled Study
  • Immediate Pain Response Does Not Predict Long-Term Outcome of CT-Guided Cervical Transforaminal Epidural Steroid Injections
  • CT-Guided Cervical Transforaminal Steroid Injections: Where Should the Needle Tip Be Located?
  • Ultrasound Guided Versus CT-Controlled Pararadicular Injections in the Lumbar Spine: A Prospective Randomized Clinical Trial
  • Safety and Efficacy of CT-Guided Transforaminal Cervical Epidural Steroid Injections Using a Posterior Approach
  • CT-Guided Cervical Selective Nerve Root Block with a Dorsal Approach
  • Selective Cervical Nerve Root Blockade: Prospective Study of Immediate and Longer Term Complications
  • Perils of Intravascular Methylprednisolone Injection into the Vertebral Artery: An Animal Study
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