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Related Experiment Video

Updated: Dec 15, 2025

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

Post-Dural Puncture Headache Evolving to a Subdural Hematoma: A Case Report.

Seppe Dehaene^1,2, Jeroen Biesemans¹, Koen Van Boxem²

¹Department of Anesthesiology, Intensive Care, Pain and Emergency Medicine, OLV van Lourdes Ziekenhuis, Waregem, Belgium.

Pain Practice : the Official Journal of World Institute of Pain

|July 12, 2020

Summary

Cervical epidural corticosteroid injections for neck and arm pain are generally safe. However, a rare case shows they can lead to subdural hematoma, a serious complication requiring medical attention.

Keywords:

epidural hematoma injections pain subdural

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Published on: June 18, 2021

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Area of Science:

Neurology
Pain Management
Radiology

Background:

Cervical epidural corticosteroid injections are a common treatment for subacute cervicobrachial pain.
This procedure is generally considered safe, with minor complications being most common.

Observation:

A case report details a woman who developed a headache after two cervical epidural corticosteroid injections.
A CT scan revealed a bilateral subdural hematoma 16 days after the second injection.
The hematoma resolved completely within 25 days without surgical intervention.

Findings:

This is only the second reported case of intracranial subdural hematoma following a cervical epidural steroid injection.
Subdural hematomas can develop after various neuraxial procedures, including epidural anesthesia.
Distinguishing between post-dural puncture headache and subdural hematoma is crucial for timely diagnosis and management.

Implications:

Physicians should be aware of the potential for subdural hematoma as a complication of cervical epidural steroid injections.
Neurological symptoms like persistent headache, nausea, vomiting, or blurred vision warrant immediate investigation with medical imaging.
Early recognition and imaging are vital for managing this potentially severe complication.