Abstract:
RATIONALE:Transforaminal epidural steroid injection (TFESI) is a conservative method to treat back pain due to radiculopathy. However, epidural hematoma can occur after the procedure by various mechanisms, which can cause serious complications. PATIENT CONCERNS:An 82-year-old man with spinal stenosis was treated with TFESI in the right intervertebral foramen at the L2-L3 level. The next morning, he experienced severe back pain and diffuse motor deficit. DIAGNOSIS:Emergency magnetic resonance imaging revealed fluid collection in the posterior epidural space at the T11-L1 level with central-canal stenosis. INTERVENTIONS:Emergency hematoma evacuation was performed to remove the epidural hematoma. OUTCOMES:After the surgery, the back pain disappeared. LESSONS:Epidural hematoma may occur due to causes other than direct needle injury after TFESI. Therefore, careful observation of the patient is necessary after the procedure.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Kim SI,Lee DH,Kim SH,Cho YHdoi
10.1097/MD.0000000000016654subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e16654issue
30eissn
0025-7974issn
1536-5964pii
00005792-201907260-00095journal_volume
98pub_type
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