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Subarachnoid pneumocephalus from epidural steroid injection
Jason S Hawley1, John P Ney, Margaret M Swanberg
1Walter Reed Army Medical Center, Neurology, Washington, DC, USA.
Headache
|April 20, 2005
Summary
Severe posterior headache and double vision occurred after an epidural steroid injection for lower back pain. This case highlights potential neurological complications following the procedure.
Area of Science:
- Neurology
- Pain Management
- Interventional Procedures
Background:
- Epidural steroid injections are commonly used for managing lumbar pain.
- These procedures carry potential risks, including neurological complications.
Observation:
- A patient developed severe posterior headache and diplopia (double vision).
- These symptoms emerged shortly after receiving an epidural steroid injection for lumbar pain.
Findings:
- The case suggests a possible link between epidural steroid injections and neurological adverse events.
- Posterior headache and diplopia may indicate complications such as intracranial hypotension or other neurological issues.
Implications:
- Clinicians should be aware of the potential for severe neurological complications after epidural steroid injections.
- Prompt diagnosis and management are crucial for patients experiencing such adverse events.
- Further research may be needed to understand the mechanisms and incidence of these complications.