Spinal epidural hematoma occurring at a distance from the transforaminal epidural injection site: A case report.

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

Medicine

authors

Kim SI,Lee DH,Kim SH,Cho YH

doi

10.1097/MD.0000000000016654

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

e16654

issue

30

eissn

0025-7974

issn

1536-5964

pii

00005792-201907260-00095

journal_volume

98

pub_type

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