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William E. Strong, MD; Roger Wesley, MD
Anesthesia and Operative Service Pain Clinic Staff Brooke Army Medical Center Fort Sam Houston, TX 78234-6200

Alon P. Winnie, MD
Pain Control Center University of Illinois Hospital Chicago, IL 60612

Arch Neurol. 1991;48(10):1012.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We read with interest Nelson's¹ most recent attack on the use of intraspinal steroids. It appears that Nelson is continuing his relentless crusade to banish the use of epidural steroids, a crusade based, as usual, more on an emotional than on a scientific basis.

Initially it appears that the 19 references in his letter to the editor¹ would strongly support his viewpoint. However, on closer evaluation, one realizes that 14 of those 19 references are Nelson's articles, many of which are simply letters to the editor or lectures to others rehashing the same material.

The majority of the references discounting the use of intraspinal steroids address the intrathecal use. In addition, most of the complications encountered by Nelson, or quoted by him, occurred in patients with another significant neurologic disease process, ie, multiple sclerosis. And, when Nelson refers to Bernat's article² regarding a complication from . . . [Full Text PDF of this Article]

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