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Updated: Aug 22, 2025

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The Importance of Initial Epidurography Prior to Any Drug Administration in Three-Day Adhesiolysis Procedure
Owen Ray Diebels1, Babak Baheri2, Jens Gios2
1University of Antwerp (UA), Antwerp University Hospital (UZA), Edegem, Belgium.
Abstract:
Percutaneous epidural adhesiolysis (PEA) is a minimal invasive procedure to relieve sciatalgia caused by post lumbar surgery syndrome (PLSS). Fluoroscopic-guided contrast-epidurography is essential to ensure a safe procedure. We present a case of a 28-year-old male patient who underwent a PEA which was complicated by a dural puncture. We highlight the dangers of such complications and discuss associated risk factors.
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