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Reactions that spread beyond the immediate injection area, involve significant swelling, or are accompanied by fever or systemic symptoms require medical evaluation

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Spinal cord Magnetic Resonance Imaging (MRI) demonstrated two right intracanal extradural and intra/extra-foraminal lesions at the cervical level: the first lesion measured 20x10mm and was located at the C6-C7 level with paravertebral extension and dumbbell shape