Epidural hematoma after routine epidural steroid injection
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Updated: Mar 20, 2026

Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
Azzam M Alkhudari1, Craig S Malk1, Abed Rahman1
1Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
Background:
There are few reported cases of an epidural spinal hematoma following interventional pain procedures.
Case Description:
We report a case of a spinal epidural hematoma in a patient with no known risk factors (e.g. coagulopathy), who underwent an epidural steroid injection (ESI) in the same anatomic location as two previously successful ESI procedures.
Conclusion:
Early detection was the key to our case, and avoiding sedation allowed the patient to recognize the onset of a new neurological deficit, and lead to prompt diagnosis as well as surgical decompression of the resultant hematoma.
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